Abdominal pain (geriatrics): Difference between revisions
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==Background== | <languages/> | ||
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''For standard adult patients see [[Special:MyLanguage/Abdominal pain|Abdominal pain]].'' | |||
==Background== <!--T:2--> | |||
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[[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]] | |||
[[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]] | |||
*Elderly patients | *Elderly patients | ||
**Surgical emergencies are more common in elderly than in any other | **Surgical emergencies are more common in elderly than in any other patient population | ||
**Viral gastroenteritis is uncommon | **[[Special:MyLanguage/Viral gastroenteritis|Viral gastroenteritis]] is ''uncommon'' | ||
**Conservative admission strategy is strongly advocated | **Conservative admission strategy is strongly advocated | ||
* | *Patients with immunosuppression often have delayed or atypical presentations | ||
*Fever is not a reliable marker for surgical disease | *[[Special:MyLanguage/Fever|Fever]] is not a reliable marker for surgical disease | ||
==Elderly== | |||
==Elderly== <!--T:4--> | |||
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*60% are surgical | *60% are surgical | ||
*Acute onset | *Acute onset associated with catastrophe | ||
*Med list is important | *Med list is important | ||
* | *Abdominal exam generally unhelpful/difficult to localize pain | ||
*Misc 25% | *Misc 25% | ||
**MI, dissection, mesenteric ischemia | **[[Special:MyLanguage/MI|MI]], [[Special:MyLanguage/aortic dissection|dissection]], [[Special:MyLanguage/mesenteric ischemia|mesenteric ischemia]] | ||
*Biliary | *[[Special:MyLanguage/Biliary disease|Biliary disease]] - 21% | ||
*Unknown - 20% | *Unknown - 20% | ||
*Obstruction - 12% | *[[Special:MyLanguage/SBO|Obstruction]] - 12% | ||
** | **previous surgery adhesions, internal/external [[Special:MyLanguage/hernia|hernia]], malignancy | ||
**sigmoid/cecal | **sigmoid/cecal [[Special:MyLanguage/volvulus|volvulus]] - persistent pain, can be subacute, [[Special:MyLanguage/nausea and vomiting|nausea and vomiting]], may not have fever | ||
*Perforated | *Perforated viscus - 7% | ||
** | **[[Special:MyLanguage/NSAIDs|NSAIDs]] | ||
*Diverticular - 10% | *[[Special:MyLanguage/diverticulitis|Diverticular]] - 10% | ||
*Appendicitis - 5% | *[[Special:MyLanguage/Appendicitis|Appendicitis]] - 5% | ||
**60% perforation in OR, lacking rebound/guarding | **60% perforation in OR, lacking rebound/guarding | ||
*Renal | *[[Special:MyLanguage/Renal colic|Renal colic]] - 4% | ||
==See Also== <!--T:6--> | |||
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*[[Special:MyLanguage/Geriatrics (Main Page)|Geriatrics (Main Page)]] | |||
*[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | |||
==External Links== <!--T:8--> | |||
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*[https://www.aliem.com/ten-tips-for-approaching-abdominal-pain-in-the-elderly/ ALiEM: 10 Tips for Approaching Abdominal Pain in the Elderly] | |||
== | <!--T:10--> | ||
==References== | |||
<references/> | |||
[[Category:Misc/General]] | [[Category:Misc/General]] | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Symptoms]] | |||
</translate> | |||
Latest revision as of 09:29, 22 March 2026
For standard adult patients see Abdominal pain.
Background
- Elderly patients
- Surgical emergencies are more common in elderly than in any other patient population
- Viral gastroenteritis is uncommon
- Conservative admission strategy is strongly advocated
- Patients with immunosuppression often have delayed or atypical presentations
- Fever is not a reliable marker for surgical disease
Elderly
- 60% are surgical
- Acute onset associated with catastrophe
- Med list is important
- Abdominal exam generally unhelpful/difficult to localize pain
- Misc 25%
- Biliary disease - 21%
- Unknown - 20%
- Obstruction - 12%
- previous surgery adhesions, internal/external hernia, malignancy
- sigmoid/cecal volvulus - persistent pain, can be subacute, nausea and vomiting, may not have fever
- Perforated viscus - 7%
- Diverticular - 10%
- Appendicitis - 5%
- 60% perforation in OR, lacking rebound/guarding
- Renal colic - 4%
See Also