Abdominal Pain Emergency Situations

What is the main reason for distinguishing between life-threatening and non-life-threatening causes of abdominal pain?

In an emergency situation involving abdominal pain, what is a recommended first step?

Which of the following factors is NOT relevant for assessing the urgency of abdominal pain?

What action should be taken if life-threatening causes of abdominal pain are suspected?

Which of the following is a potential outcome of failing to distinguish between life-threatening and non-life-threatening abdominal pain?

Abdominal Pain Emergency Situations

Many causes for abdominal pain exist, some more urgent than others. Differentiating between life-threatening and less critical causes helps determine appropriate response times.
Critical cases may warrant immediate communication with OLMC for bypass/transport.

Differential Diagnoses

Acute Coronary Syndrome (ACS):
- Upper abdominal pain warrants ACS consideration. If confirmed, the Adult Acute Coronary Syndrome (Suspected) Protocol is to be followed.
Aortic Aneurysm:
- Characterized by a tearing sensation in the back or flank radiating to the abdomen. Hypotension (low blood pressure) and the urge to defecate are also common symptoms.
Peritonitis:
- Inflammation of the peritoneum (membrane lining the abdominal cavity). Symptoms include gradual tenderness, rebound tenderness and abdominal guarding.
Ectopic Pregnancy:
- Fertilized egg implants outside the uterus (common in women of childbearing age). Lower abdominal pain is a potential symptom.
Uncontrolled Gastrointestinal Hemorrhage:
- May be upper (e.g., ulcers, esophageal varices) or lower (e.g., diverticulosis, colon lesions). Bleeding may appear frank (visible) or occult (hidden).

This quiz covers critical differential diagnoses related to abdominal pain, including Acute Coronary Syndrome, Aortic Aneurysm, Peritonitis, and Ectopic Pregnancy. Understanding these conditions is essential for making timely and effective medical decisions in emergency situations.