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Abdominal pain �Khadijah Banjar R4 �KFMC

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Groups that require special consideration in the work up”

Elderly

Commonly missed diagnoses

• Diverticulitis

• Ruptured AAA

• Mesenteric ischemia

Immunocompromised

    • Presentation can be misleading due to lack of an inflammatory response

Women of reproductive age

    • Pelvic organs can lead to more missed pathologies § Ectopic pregnancy

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When is an abdominal x-ray useful in investigating abdominal pain?

  • ● Query foreign body / body packers/stuffers
  • ● Query drug overdose
  • ○ Iron, mercury, calcium carbonate, chloral hydrate, acetazolamide, potassium chloride tabs
  • ● Query perforated viscus
  • ● Pediatric population exceptions
  • ○ Neonates / kids
  • ■ Volvulus /Malrotation
  • ■ NEC

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