ITEMS IN AFP WITH KEYWORD:

Abdominal Pain

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...


Apr 1, 2008 Issue
Evaluation of Acute Abdominal Pain in Adults [Article]

Acute abdominal pain can represent a spectrum of conditions from benign and self-limited disease to surgical emergencies. Evaluating abdominal pain requires an approach that relies on the likelihood of disease, patient history, physical examination, laboratory tests, and imaging studies. The locatio...


Oct 1, 2007 Issue
Peptic Ulcer Disease [Article]

Peptic ulcer disease usually occurs in the stomach and proximal duodenum. The predominant causes in the United States are infection with Helicobacter pylori and use of nonsteroidal anti-inflammatory drugs. Symptoms of peptic ulcer disease include epigastric discomfort (specifically, pain relieved by...


Feb 1, 2007 Issue
Update on Helicobacter pylori Treatment [Article]

One half of the world's population has Helicobacter pylori infection, with an estimated prevalence of 30 percent in North America. Although it is unclear whether eradication of H. pylori improves symptoms in patients with nonulcer dyspepsia, there is strong evidence that eradication of this bacteria...


Nov 1, 2006 Issue
Diagnosis of Acute Abdominal Pain in Older Patients [Article]

Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in presentation, and physical and social barriers. The physical examination can be misleadingly benign, even with c...


Dec 15, 2005 Issue
Treatment of Irritable Bowel Syndrome [Article]

Irritable bowel syndrome affects 10 to 15 percent of the U.S. population to some degree. This condition is defined as abdominal pain and discomfort with altered bowel habits in the absence of any other mechanical, inflammatory, or biochemical explanation for these symptoms. Irritable bowel syndrome ...


Oct 1, 2005 Issue
Diverticular Disease: Diagnosis and Treatment [Article]

Diverticular disease refers to symptomatic and asymptomatic disease with an underlying pathology of colonic diverticula. Predisposing factors for the formation of diverticula include a low-fiber diet and physical inactivity. Approximately 85 percent of patients with diverticula are believed to remai...


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