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Abdominal Pain in Older Patients

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Abstract

Abdominal pain is a common complaint in older patients and represents a challenge for emergency physicians. In addition to the classical causes of abdominal pain, extra-abdominal causes, e.g., acute myocardial infarction, must be excluded rapidly during the work-up in the emergency department (ED) because urgent and specific interventions may be needed. Moreover, changes in physiological processes in older patients as well as limitations of the physical examination and the presence of limited cognitive function can lead to atypical clinical presentations. Emergency physicians should be familiar with the management of abdominal pain in older patients in the ED and should be able to establish the differential diagnosis. In this chapter, the epidemiology of acute abdominal pain, the current diagnostic approach in the ED, and the specific geriatric approach will be reviewed.

Keywords

  • Abdominal pain
  • Acute abdomen
  • Emergency department
  • Older patients

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Fig. 15.1
Fig. 15.2

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Correspondence to Mehmet Ergin MD .

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Dündar, Z.D., Dogrul, A.B., Ergin, M., Dogrul, R.T. (2018). Abdominal Pain in Older Patients. In: Nickel, C., Bellou, A., Conroy, S. (eds) Geriatric Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19318-2_15

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  • DOI: https://doi.org/10.1007/978-3-319-19318-2_15

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