The Problem of Pain. Approach to Abdominal Pain Jason Phillips, MD. ER approach to abdominal pain. Chief complaint: abd pain Labs: CBC, chem, LFTs, lipase CT abdomen History Possible PE. How do you approach a workup for abdominal pain?. What are the most likely possibilities?
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Approach to Abdominal Pain
Jason Phillips, MD
Chief complaint: abd pain
What are the most likely possibilities?
How do you organize your thoughts?
3 types of IBS patients
What is the normal range for frequency of bowel movements?
Rule of 3s:
- Normal = Anywhere from 3x per week to up to 3x per day
Alterations in motility
Postinfectious IBS – lymphocytic infiltration of myenteric plexus?
How do you prove its only IBS?
Rome criteria positive for IBS
reassurance and treatment of symptoms
Diagnosis is made when you have at least 2 of the 3 criteria:
- Typical pancreatitic pain
- Elevation in amylase and lipase
- Abnormal imaging