%TITLE The Abdomen %FILE print %LAYOUT print %OUTLINE long %IMAGES images/ %HOMEURL none %PARENTURL none %PREVURL none %NEXTURL none %AUTHOR Richard Rathe, MD / rrathe@ufl.edu %AUTHURL rrathe@ufl.edu %MTX 1.5 #Abdominal Anatomy {=/kub=} {=/viscera=} Most of the abdominal organs are found within the peritoneum. These organs can and do "move" (during pregnancy for example). Certain structures, such as the kidneys and pancreas, are retroperitoneal.{C} #The History and Physical in Perspective 70% of diagnoses can be made based on history alone. 90% of diagnoses can be made based on history and physical exam. Expensive tests often confirm what is found during the history and physical. #Key Historical Points - Abdominal Pain Time Course Location/Quality Radiation Associated Symptoms ##Types of Abdominal Pain Pain from Hollow Viscera crampy/paroxismal often poorly localized related to peristalsis patient writhing on exam table Pain from Peritoneal Irritation steady/constant often localized patient lies still with knees up