Management and Determining the Cause

Use structured clinical reasoning process — combining pattern recognition, systematic questioning, physical examination, and targeted testing.


PHASE 1: FIRST IMPRESSION (First 30 Seconds)

Before even asking a question, observe:

  • How does the patient look? — Are they writhing (colicky pain = stones), lying still (peritonitis = movement worsens it), pale and sweating (vascular/shock), or comfortable (likely benign)?
  • Vital signs — Fever suggests infection/inflammation. Hypotension + tachycardia = potential emergency. These are assessed immediately by nursing before the physician enters.
  • Age and sex — Instantly narrows the differential. A 25-year-old woman and a 65-year-old man with identical pain locations have very different likely diagnoses.

Is this the patient unstable or stable?

 

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PHASE 2: HISTORY TAKING — The Most Powerful Diagnostic Tool

 

SOCRATES Framework

Letter Question What it reveals
S — Site Where exactly is the pain? Organ localization
O — Onset When did it start? Sudden or gradual? Vascular vs. inflammatory vs. functional
C — Character Burning, cramping, stabbing, dull? Type of tissue involved
R — Radiation Does it go anywhere else? Classic patterns (e.g., shoulder = diaphragm irritation)
A — Associations Nausea? Fever? Bowel changes? Urinary symptoms? Systemic vs. localized
T — Timing Constant or comes and goes? Getting better or worse? Acute vs. chronic, progressive vs. resolving
E — Exacerbating/Relieving What makes it worse or better? Functional clues (food, position, movement, defecation)
S — Severity Score 1–10 Urgency and clinical weight

Additional Context Questions

  • Last bowel movement? Last menstrual period (women)?
  • Any blood in stool or urine?
  • Recent travel, unusual food, sick contacts?
  • Past medical/surgical history?
  • Current medications (NSAIDs can cause ulcers; steroids can mask peritonitis)?
  • Alcohol or drug use?
  • Family history of GI cancer, IBD?

PHASE 3: PHYSICAL EXAMINATION — Confirming or Ruling Out

The physician uses a systematic, layered exam:

1. Inspection

Looking at the abdomen for distension, visible peristalsis, bruising (Cullen's/Grey Turner's sign in pancreatitis), surgical scars, hernias.

2. Auscultation (before palpation — so bowel sounds aren't disturbed)

  • Hyperactive sounds → gastroenteritis, early obstruction
  • Absent sounds → paralytic ileus, peritonitis
  • High-pitched/tinkling → mechanical obstruction

3. Percussion

  • Tympany (hollow sound) → gas distension
  • Dullness → solid organ enlargement or fluid
  • Tenderness on percussion → peritoneal irritation

4. Palpation — The Most Informative Step

Starting away from the pain, moving toward it:

Finding Implication
Voluntary guarding Patient tenses muscles consciously — pain present
Involuntary guarding Reflex muscle rigidity — peritoneal irritation
Rebound tenderness Pain worse when pressure released — peritonitis
Murphy's sign (+) Pain on inspiration during RUQ palpation — cholecystitis
McBurney's point tenderness RLQ point tenderness — appendicitis
Rovsing's sign (+) LLQ pressure causes RLQ pain — appendicitis
Psoas sign (+) Pain on hip extension — retrocecal appendicitis
Obturator sign (+) Pain on internal hip rotation — pelvic inflammation or appendicitis
Carnett's sign Pain increases with tensed abdominal muscles — abdominal wall origin, not visceral
Organomegaly Enlarged liver/spleen — hepatic or hematologic cause

5. Rectal/Pelvic Exam (when indicated)

  • Rectal: occult blood, mass, tenderness (pelvic abscess)
  • Pelvic: cervical motion tenderness (PID), adnexal mass (ovarian cyst, ectopic)

PHASE 4: BUILDING THE DIFFERENTIAL DIAGNOSIS

After history and exam, the physician mentally ranks diagnoses into three categories:

Category Meaning
Must not miss Life-threatening if delayed — ectopic pregnancy, aortic aneurysm, mesenteric ischemia, appendicitis
Most likely Fits the clinical picture best — the working diagnosis
Worth considering Less likely but consistent with findings

Classic "Can't Miss" Red Flag Patterns a Physician Always Rules Out First:

Sudden severe epigastric pain + rigid abdomen  → Rule out: Perforated ulcer    Tearing pain radiating to back + pulsatile mass  → Rule out: Ruptured aortic aneurysm (AAA)    RLQ pain + fever + elevated WBC + migrating pain  → Rule out: Appendicitis    Reproductive age female + amenorrhea + LLQ/RLQ pain  → Rule out: Ectopic pregnancy (until proven otherwise)    Elderly + diffuse pain + disproportionate to exam findings  → Rule out: Mesenteric ischemia    Sudden severe pain + peritoneal signs  → Rule out: Perforation / Peritonitis  

PHASE 5: TARGETED INVESTIGATIONS

Rather than ordering every test, a physician orders tests that will change management based on the leading differential:

Blood Tests

Test Reason
CBC WBC elevation → infection/inflammation; anemia → bleeding
CRP / ESR General inflammation markers
LFTs (AST, ALT, ALP, bilirubin) Liver/biliary disease
Lipase / Amylase Pancreatitis
Creatinine / BMP Kidney function, electrolytes
Beta-hCG Rule out pregnancy in all women of reproductive age — always
Lactate Ischemia or sepsis
Coagulation studies If bleeding suspected

Urine

  • Urinalysis + microscopy → UTI, kidney stones, hematuria
  • Urine culture if infection suspected

Imaging — Ordered Purposefully

Modality Best For
Ultrasound Gallstones, ovarian cysts, appendix (in children/thin patients), free fluid, aorta
CT Abdomen/Pelvis (with contrast) Gold standard for most acute abdominal pain — appendicitis, diverticulitis, obstruction, masses
Plain X-ray (AXR) Obstruction (air-fluid levels), free air under diaphragm (perforation)
MRI Preferred in pregnancy; liver, biliary, pelvic detail
Endoscopy (upper/lower) Ulcers, IBD, bleeding, cancer — not acute but definitive

PHASE 6: CLINICAL SCORING TOOLS

Physicians use validated scores to objectify their reasoning:

Score Used For Components
Alvarado Score Appendicitis probability Pain migration, anorexia, nausea, RLQ tenderness, rebound, fever, WBC elevation
Ranson's Criteria Pancreatitis severity Age, WBC, glucose, LDH, AST on admission + at 48h
CURB-65 (modified) Infection severity Confusion, urea, RR, BP, age
Rome IV Criteria IBS / functional GI diagnosis Symptom pattern, duration, absence of organic cause
Child-Pugh / MELD Liver disease severity Used if hepatic cause identified

PHASE 7: THE FINAL CLINICAL DECISION

The physician integrates everything into one of four pathways:

All data integrated  │  ├─► SURGICAL EMERGENCY  │     → Immediate surgical consult  │     → Examples: Appendicitis, perforation, AAA, ectopic pregnancy, obstruction  │  ├─► MEDICAL ADMISSION  │     → IV fluids, medication, monitoring, further workup inpatient  │     → Examples: Pancreatitis, severe infection, IBD flare, pyelonephritis  │  ├─► OUTPATIENT MANAGEMENT + FOLLOW-UP  │     → Prescription, lifestyle guidance, scheduled investigations  │     → Examples: GERD, mild gastritis, IBS, UTI, diverticulitis (uncomplicated)  │  └─► WATCHFUL WAITING / OBSERVATION        → "Watch and wait" with clear return precautions        → Examples: Suspected viral gastroenteritis, non-specific abdominal pain              → Patient instructed: "Return if fever develops, pain worsens,                 you can't keep fluids down, or new symptoms appear"  

The Core Principle Physicians Follow

"Treat the patient, not the test result."

A physician weighs clinical judgment — how the patient looks, how the story fits, how the exam feels — alongside objective data. A normal CT does not rule out early appendicitis. An elevated WBC alone does not confirm infection. The full picture always guides the decision.

The best physicians are simultaneously running two parallel processes: pattern recognition (does this fit a familiar picture?) and hypothesis testing (what would prove or disprove each diagnosis?). That combination — experience and logic — is what separates clinical medicine from a checklist.

 

 

Abdominal Pain

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