Epigastric abdominal pain

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Background

  • This page outlines the general approach to adult epigastric pain

Clinical Features

Differential Diagnosis

Epigastric Pain

Workup

  • CBC
  • Chem
  • LFTs
  • Lipase
  • Coags
  • Urinalysis
  • Urine pregnancy (females)
  • ?ECG (if >50 or at risk for cardiac disease)
  • ?RUQ US
  • ?CXR
    • Consider if at risk for perforated ulcer

Management

  • Treat underlying disease process
  • Consider GI cocktail

Disposition

  • Disposition per underlying disease process

See Also

External Links

References