Abdominal Pain

Feb 15, 2015 Issue
Diagnosis and Treatment of Peptic Ulcer Disease and H. pylori Infection [Article]

Peptic ulcer disease is usually caused by Helicobacter pylori infection or use of nonsteroidal anti-inflammatory drugs. Find out how to diagnose the cause, as well as the available treatment options.

May 15, 2014 Issue
Surgical and Nonsurgical Management of Gallstones [Article]

Which diagnostic and treatment options are best for symptomatic and asymptomatic disease?

May 1, 2013 Issue
Diagnosis and Management of Acute Diverticulitis [Article]

Uncomplicated diverticulitis is localized diverticular inflammation, whereas complicated diverticulitis is diverticular inflammation associated with an abscess, phlegmon, fistula, obstruction, bleeding, or perforation. Patients with acute diverticulitis may present with left lower quadrant pain, ten...

Sep 1, 2012 Issue
Large Tubular Colonic Mass with Hematochezia and Altered Bowel Habits [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Sep 1, 2012 Issue
Diagnosis and Management of IBS in Adults [Article]

Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent with peak prev...

Mar 1, 2011 Issue
Update on the Evaluation and Management of Functional Dyspepsia [Article]

Dyspepsia affects up to 40 percent of adults each year and is often diagnosed as functional (nonulcer) dyspepsia. The defining symptoms are postprandial fullness, early satiation, or epigastric pain or burning in the absence of causative structural disease. These symptoms may coexist with symptoms o...

Jan 15, 2011 Issue
Evaluation and Mangement of Intestinal Obstruction [Article]

Acute intestinal obstruction occurs when there is an interruption in the forward flow of intes- tinal contents. This interruption can occur at any point along the length of the gastrointestinal tract, and clinical symptoms often vary based on the level of obstruction. Intestinal obstruc- tion is mos...

Oct 1, 2010 Issue
Left Lower-Quadrant Pain: Guidelines from the American College of Radiology Appropriateness Criteria [Article]

The differential diagnosis of left lower-quadrant pain includes gastrointestinal, gynecologic, and renal/ureteric pathology. Imaging is helpful in evaluating left lower-quadrant pain, and is generally guided by the clinical presentation. Acute sigmoid diverticulitis should be suspected when the clin...

Jul 15, 2010 Issue
Evaluation of Acute Pelvic Pain in Women [Article]

Diagnosis of pelvic pain in women can be challenging because many symptoms and signs are insensitive and nonspecific. As the first priority, urgent life-threatening conditions (e.g., ectopic pregnancy, appendicitis, ruptured ovarian cyst) and fertility-threatening conditions (e.g., pelvic inflammato...

Jun 1, 2008 Issue
Chronic Pelvic Pain in Women [Article]

The etiology of chronic pelvic pain in women is poorly understood. Although a specific diagnosis is not found in the majority of cases, some common diagnoses include endometriosis, adhesions, irritable bowel syndrome, and interstitial cystitis. The initial history and physical examination can narrow...

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