ABDOMINAL PAIN: A PROPAEDEUTIC DIAGNOSTIC APPROACH
Abstract
Abdominal pain is among the most frequent complaints encountered in internal medicine and often poses a diagnostic challenge. Although modern medicine offers advanced laboratory and imaging techniques, careful clinical evaluation remains the foundation of accurate diagnosis. This article discusses the propaedeutic approach to abdominal pain, with emphasis on detailed history taking, physical examination, interpretation of pain characteristics, and logical clinical reasoning. The study highlights the continuing relevance of bedside assessment in guiding diagnosis, identifying urgent conditions, and optimizing patient management.
References
1. Bates, B., Bickley, L. S., & Hoekelman, R. A. Bates’ Guide to Physical Examination and History Taking. Wolters Kluwer.
2. Jameson, J. L., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L., & Loscalzo, J. Harrison’s Principles of Internal Medicine. McGraw-Hill Education.
3. Kumar, P., & Clark, M. Kumar and Clark’s Clinical Medicine. Elsevier.
4. Talley, N. J., & O’Connor, S. Clinical Examination: A Systematic Guide to Physical Diagnosis. Elsevier.
5. Walker, H. K., Hall, W. D., & Hurst, J. W. Clinical Methods: The History, Physical, and Laboratory Examinations. Butterworths.
6. McGee, S. Evidence-Based Physical Diagnosis. Elsevier.
7. Longo, D. L. Approach to the Patient with Gastrointestinal Disease. In Harrison’s Principles of Internal Medicine. McGraw-Hill.
8. Bickley, L. S. A Guide to Physical Examination and History Taking. Lippincott Williams & Wilkins.
9. DeGowin, R. L., & DeGowin, E. L. Bedside Diagnostic Examination. McGraw-Hill.
