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SYMPTOM-LED (ED) · symptom.abdominal_pain.ed_undifferentiated· DEMO READY

Undifferentiated abdominal pain. Rule out the surgical / vascular catastrophes before committing to benign causes.

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Authored pathway active · symptom.abdominal_pain.ed_undifferentiated.ed

Undifferentiated abdominal pain. Rule out the surgical / vascular catastrophes before committing to benign causes.

7 must-ask4 must-not-miss

Guidelines: ACEP 2019 Clinical Policy: Acute Nontraumatic Abdominal Pain · WSES 2020 Acute Abdomen Management · ACR Appropriateness Criteria 2025 Acute Abdominal Pain

Phenotypes (4)

  • Abdominal Pain ED - High Acuity (Peritonitis/Ischemia/AAA)
  • Abdominal Pain ED - GI Inflammatory (Appendicitis/Diverticulitis/IBD)
  • Abdominal Pain ED - Gynecologic (PID/Ectopic/Torsion)
  • Abdominal Pain ED - Low Acuity (Functional/Musculoskeletal)

Red flags (6)

  • Ruptured/leaking AAA (pulsatile abdominal mass + hypotension + back/flank pain in adult > 50).CRITICAL
  • Acute mesenteric ischemia (severe pain out of proportion to exam + AF/CHF + lactate > 2).CRITICAL
  • Perforated viscus (peritoneal signs + free air on imaging or upright CXR + sepsis).CRITICAL
  • Ruptured ectopic pregnancy (positive β-hCG + lower abdominal pain + hypotension/shoulder pain).CRITICAL
  • +2 more

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symptom.abdominal_pain.ed_undifferentiated · Emergency
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