Category Archives: Acute Abdomen


Plain abdominal films “Four views of the abdomen” (acute abdomen series) includes a upright PA chest, plain abdominal film (“flat plate”), upright film, and a left lateral decubitus view of the abdomen. Bowel obstruction Small bowel obstruction may cause multiple

Laboratory evaluation

Rectal and pelvic examination Digital examination of the rectum may detect cancer, fecal impaction, or pelvic appendicitis. Stool should be checked for gross or occult blood. Pelvic examination. Vaginal discharge should be noted and cultured. Masses and tenderness should be

Medications. Physical examination

Nonsteroidal anti-inflammatory drugs predispose to peptic ulcer disease. Antibiotic therapy may obscure the signs of peritonitis. Patients with abdominal pain and diarrhea who have received antibiotics may have pseudomembranous colitis. Anticoagulants. Warfarin therapy predisposes to retroperitoneal or intramural intestinal hemorrhage

Associated symptoms. Acute Abdomen

Constitutional symptoms (eg, fatigue, weight loss) suggests underlying chronic disease. Gastrointestinal symptoms Anorexia, nausea and vomiting are commonly associated with acute abdominal disorders. The frequency, character, and timing of these symptoms in relation to pain and time of the last

Acute Abdomen

Clinical evaluation of abdominal pain Onset and duration of the pain The duration, acuity, and progression of pain should be assessed, and the exact location of maximal pain at onset and at present should be determined. The pain should be