Abdominal Pain CLEAR

Condition Library

Comprehensive reference for 12 conditions with diagnostic criteria, treatment plans, and evidence

Showing 12 of 12 conditions

Acute Cholecystitis

urgent

Acute inflammation of the gallbladder, typically caused by obstruction of the cystic duct by gallstones or biliary sludge. Without prompt treatment, complications include gangrene or perforation.

inflammatory10 Hx questions • 5 exam findings

Acute Pancreatitis

urgent

Rapid onset inflammatory process of the pancreas causing local and systemic manifestations. Ranges from mild edematous to severe necrotizing pancreatitis with multi-organ failure.

inflammatory10 Hx questions • 5 exam findings

Peptic Ulcer Disease

caution

Mucosal defects extending through the muscularis mucosae of the stomach or duodenum. Most commonly caused by H. pylori infection or NSAID use.

inflammatory9 Hx questions • 3 exam findings

Irritable Bowel Syndrome (IBS)

safe

Functional gastrointestinal disorder characterized by chronic/recurrent abdominal pain with altered bowel habits in the absence of structural or biochemical abnormalities. Involves gut-brain axis dysregulation.

functional11 Hx questions • 3 exam findings

Small Bowel Obstruction

urgent

Mechanical obstruction of the small intestine preventing normal passage of intestinal contents. Most commonly caused by adhesions from prior surgery, hernias, or tumors.

obstructive8 Hx questions • 5 exam findings

Functional Dyspepsia

safe

Chronic dyspeptic symptoms (epigastric pain, early satiety, postprandial fullness) without identifiable structural cause on investigation. A disorder of gut-brain interaction.

functional6 Hx questions • 2 exam findings

Gastroparesis

caution

Delayed gastric emptying in the absence of mechanical obstruction. Most commonly idiopathic or diabetic in etiology. Causes nausea, vomiting, early satiety, and bloating.

functional6 Hx questions • 2 exam findings

Abdominal Aortic Aneurysm (AAA) Rupture

emergency

Life-threatening rupture of an abdominal aortic aneurysm causing massive internal hemorrhage. Mortality exceeds 80% without emergency surgical repair. Classic triad: abdominal/back pain, hypotension, pulsatile mass.

vascular7 Hx questions • 4 exam findings

Acute Mesenteric Ischemia

emergency

Sudden reduction in intestinal blood flow causing bowel ischemia and potentially infarction. Most commonly due to arterial embolism (50%), arterial thrombosis (25%), or non-occlusive mesenteric ischemia (20%). Mortality 60-80% if diagnosis delayed.

vascular7 Hx questions • 4 exam findings

Dyspepsia — Approach to the Patient

safe

Symptom complex of epigastric pain/burning, postprandial fullness, or early satiation. Requires systematic approach to distinguish organic causes (PUD, malignancy) from functional dyspepsia.

inflammatory6 Hx questions • 2 exam findings

Helicobacter pylori Infection

safe

Gram-negative bacterial infection of the gastric mucosa affecting approximately 50% of the world's population. Major cause of peptic ulcer disease and gastric cancer. Eradication cures most H. pylori-associated ulcers.

infectious5 Hx questions • 2 exam findings

Acute Abdominal Pain — General Approach

urgent

Systematic approach to evaluating acute abdominal pain in adults. Requires rapid assessment to identify life-threatening conditions requiring urgent intervention while systematically working through the differential diagnosis.

surgical10 Hx questions • 7 exam findings