GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 4: Evaluation Of Acute Abdominal Pain (continued)

Joseph Feuerstein, MD; M. Michael Wolfe, MD

You receive the following call from the emergency department (ED): A 23-year-old woman has been brought in by her friend, writhing in pain. She developed acute diffuse abdominal pain 1 hour earlier. Her exam is notable for fever (102°F), a heart rate of 112, and a blood pressure of 110/76. She is found curled up in the fetal position, with diffuse abdominal tenderness and guarding on physical examination. Lab tests are pending. We would like you to help us in evaluating this patient. As noted in Cope’s Early Diagnosis of the Acute Abdomen, “abdominal pain is one of the…