https://wikem.org/w/index.php?action=history&feed=atom&title=Abdominal_pain_%28geriatrics%29%2Fen 2026-04-18T15:07:14Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Abdominal_pain_(geriatrics)/en&diff=379312&oldid=prev 2026-01-05T14:28:16Z

<p>Updating to match new version of source page</p> <p><b>New page</b></p><div>&lt;languages/&gt;<br /> ''For standard adult patients see [[Special:MyLanguage/Abdominal pain|Abdominal pain]].''<br /> <br /> ==Background==<br /> <br /> [[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]]<br /> [[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]]<br /> *Elderly patients<br /> **Surgical emergencies are more common in elderly than in any other patient population<br /> **[[Special:MyLanguage/Viral gastroenteritis|Viral gastroenteritis]] is ''uncommon''<br /> **Conservative admission strategy is strongly advocated<br /> *Patients with immunosuppression often have delayed or atypical presentations<br /> *[[Special:MyLanguage/Fever|Fever]] is not a reliable marker for surgical disease<br /> <br /> <br /> ==Elderly==<br /> <br /> *60% are surgical<br /> *Acute onset associated with catastrophe<br /> *Med list is important<br /> *Abdominal exam generally unhelpful/difficult to localize pain<br /> *Misc 25%<br /> **[[Special:MyLanguage/MI|MI]], [[Special:MyLanguage/aortic dissection|dissection]], [[Special:MyLanguage/mesenteric ischemia|mesenteric ischemia]]<br /> *[[Special:MyLanguage/Biliary disease|Biliary disease]] - 21%<br /> *Unknown - 20%<br /> *[[Special:MyLanguage/SBO|Obstruction]] - 12%<br /> **previous surgery adhesions, internal/external [[Special:MyLanguage/hernia|hernia]], malignancy<br /> **sigmoid/cecal [[Special:MyLanguage/volvulus|volvulus]] - persistent pain, can be subacute, [[Special:MyLanguage/nausea and vomiting|nausea and vomiting]], may not have fever<br /> *Perforated viscus - 7%<br /> **[[Special:MyLanguage/NSAIDs|NSAIDs]]<br /> *[[Special:MyLanguage/diverticulitis|Diverticular]] - 10%<br /> *[[Special:MyLanguage/Appendicitis|Appendicitis]] - 5%<br /> **60% perforation in OR, lacking rebound/guarding<br /> *[[Special:MyLanguage/Renal colic|Renal colic]] - 4%<br /> <br /> <br /> <br /> ==See Also==<br /> <br /> *[[Special:MyLanguage/Geriatrics (Main Page)|Geriatrics (Main Page)]]<br /> *[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]]<br /> <br /> <br /> ==External Links==<br /> <br /> *[https://www.aliem.com/ten-tips-for-approaching-abdominal-pain-in-the-elderly/ ALiEM: 10 Tips for Approaching Abdominal Pain in the Elderly]<br /> <br /> [[Category:Misc/General]]<br /> [[Category:GI]]<br /> [[Category:Symptoms]]</div>

FuzzyBot