DC super short
Patient’s symptoms not typical for other emergent causes of abdominal pain such as, but not limited to, appendicitis, abdominal aortic aneurysm, surgical biliary disease, pancreatitis, SBO, mesenteric ischemia, serious intra-abdominal bacterial illness, atypical ACS.
Pt tolerating PO and pain controlled.
Patient will be discharged with strict return precautions and follow up with primary MD within 12-24 hours for further evaluation.
Patient understands that this still may have an early presentation of an emergent medical condition such as appendicitis that will require a recheck.
General Abd Pain
Pt presents with abdominal pain ML of nonemergent etiology.
No abdominal bruits, no relation to fatty meals, negative Murphy’s, no radiation to back, no CVA tenderness, no h/o alcohol abuse, no h/o diverticula or bloody stool. Pt having flatus and nml BMs.
Pt nontoxic in appearance w nml vitals.
Unlikely AAA, cholecystitis, pancreatitis, SBO, appendicitis, mesenteric ischemia, nephrolithiasis, pyelonephritis, or diverticulitis. Doubt atypical ACS
Pt tolerating PO and pain controlled. Plan DC home w/ return precautions.