Pt p/w crampy, intermittent abdominal pain. Pt with risk factor history of ___ (i.e. abdominal surgery, hernia, abdominal radiation. anticholinergic or TCA use). No h/o abdominal trauma. Pt without recent BM or flatus. (+) N/V. (+) Distention and Abdominal TTP. Unlikely other acute abdomen. Plan NPO, pain and nausea control, CBC, BMP, Lipase, BUS, CT w/ IV contrast.
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- Consider in borderline patients flat and upright abdominal radiographs with an upright chest x-ray or a lateral decubitus view
- If patient in AKI etc, can use oral contrast for CT
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