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Suprapubic pain in the ED

read this first: abdominal pain in ED

Suprapubic pain +/- radiation to back:

differential diagnosis:
initial Mx in ED:
  • consider urgent bedside US if > 50yrs and suspect AAA
  • FWT urine to exclude UTI & pregnancy
  • if palpable bladder or unable to pass urine consider bladder US in ED +/- urinary catheter
  • if heavy PV bleed then Mx according to suspected cause eg. 10 days primolut 5-10mg tds for DUB;
  • if pre-menarchal female aged 10-14yrs then consider US to excl. haematocolpos
abdopain_suprapubic.txt · Last modified: 2009/09/05 22:51 by

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