abdominal pain

Question 1

give examples of Urgent or easily missed causes of acute abdominal pain?

under the headings of

Answer 1

Medical

Myocardial infarction.
Diabetic ketoacidosis.
Lower lobe pneumonia.
Sickle cell crisis.
Hypercalcaemia.
Hereditary angio-oedema.

Gynaecological/obstetric
Ectopic pregnancy - may present with nonspecific symptoms - eg, syncope, urinary symptoms, diarrhoea or shoulder tip pain or without ‘missed period’.
Placental abruption, heavy vaginal bleeding and other pregnancy complications.
Ovarian hyperstimulation syndrome (during assisted conception).[2]

Surgical
Aortic aneurysm and aortic dissection - may present with abdominal pain, back pain or renal colic.
Bowel ischaemia (eg, mesenteric infarction or volvulus) - typically presents with pain out of proportion to the clinical signs.
Generalised peritonitis.
Acute bowel obstruction.
Testicular torsion - pain may be referred to the abdomen.
Urinary obstruction - an enlarged bladder can be missed if not percussed.
Abscess (subphrenic, pelvic or psoas abscess) - pain and fever but may have few localising signs.