Abdominal Pain Diagnosis Decision Rule for Men - Medical Algorithm

Are you evaluating an ambulatory male with abdominal pain?

Yes

Age of the patient

years

Unintentional weight loss (enter 0 if no weight loss or loss intentional)

Duration of pain

months

Number of previous episodes of the same type of pain

previous episodes

Does the patient only show epigastric pain with some tenderness?

Yes

Is the pain constant?

Yes

Is the pain relieved by food or medications?

Yes

Has the pain affected sleep?

Yes

Does stool contain occult blood?

Yes

Has the patient been vomiting since the pain began?

Yes

Does the physical exam show?

• abdominal or pelvic mass?

Yes

• rigidity?

Yes

• rebound?

Yes

• distention?

Yes

• absent bowel sounds?

Yes

• an abnormal liver?

Yes

Does the patient have a history of?

• cancer?

Yes

• diverticular disease?

Yes

• pancreatitis?

Yes

• untreated gallstone disease?

Yes

• inflammatory bowel disease?

Yes

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Data complete?

Evaluation appropriate?

Total score

Can you assume that the chance of serious disease is low?

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Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10

Decision Rule of Orient et al for Men with Abdominal Pain (Modified Decision Rule of Wasson et al)

Purpose: To determine if an ambulatory male patient with abdominal pain has potentially serious disease using the decision rule of Orient et al.

Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10