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Abdominal Pain (Alarm symptoms (Yes (Monitor vital signs, Triage to…
Abdominal Pain
Alarm symptoms
Yes
Monitor vital signs
Triage to appropriate setting
Consider gastroenterology and surgical consultation
Consider radiologic imaging
No
Attempt to localise pain
Hypogastric/pubic
Ectopic pregnancy
Uterine pathology
Bladder process (eg urinary retention)
Left Iliac
Hernia
Hip joint pathology
Ectopic pregnancy
Inflammatory bowel disease
Diverticulitis
Torsion (testicular or adnexal)
Colitis
Epigastric
Gastric outlet obstruction
Gastroesophageal reflux disease
Esophageal pathology (eg esophagitis)
Hiatal hernia
Aortic aneurysm
Myocardial ischemia
Pancreatitis
Peptic ulcer disease
Pericardial process (eg effusion)
Right Iliac
Hip Joint Pathology
Inflammatory Bowel Disease
Hernia
Mesenteric adenitis
Ectopic Pregnancy
Mesenteric ischemia
Terminal ileitis
Torsion (Testicular or adnexal)
Left Upper Quadrant
Splenic process (eg splenomegaly)
Pulmonary process (eg pneumonia)
Pleural process (eg effusion)
Peptic ulcer disease
Pancreatitis
Myocardial ischemia
Mesenteric ischemia
Left Lumbar
Splenic process
Nephrolithiasis
Herpes zoster
Painful rib syndrome
Renal process (eg infarct)
Ureteral obstruction
Right Upper Quadrant
Pulmonary process (eg pneumonia)
Hepatitis
Pleural process (eg effusion)
Hepatomegaly
Peptic ulcer disease
Pancreatitis
Fitz Hugh Curtis Syndrome
Biliary process(eg cholecystitis)
Right Lumbar
Nephrolithiasis
Painful rib syndrome
Herpes zoster
Renal process (eg infarct)
Biliary process
Ureteral obstruction
PeriUmbilical
Appendicitis (early)
Bowel obstruction
Aortic aneurysm
Colitis
Inflammatory bowel disease
Mesenteric ischemia
Diffuse or poorly localised
Colitis
Dehydration
Bowel obstruction
Diabetic ketoacidosis
Appendicitis (early)
Drug side effect
Ascites
Endometriosis
Aortic aneurysm
Familial Mediterranean Fever
Angioedema
Gastroenteritis
Adrenal insufficiency
Herpes Zoster
SLE
Inflammatory bowel disease
Peritonitis
Irritable bowel syndrome
Perforated viscus
Mesenteric ischemia
Peptic ulcer disease
Pelvic inflammatory disease
Syphilis
Spider bite
Sickle cell crisis
Porphyria