Abdominal Pain - don't miss these

• Recent cardiac catheterization – retroperitoneal hematoma
• History of AAA repair – rupture, leak, or aorto-enteric fistula
• Recent colonoscopy – perforation or intra-abdominal bleeding or hematoma
• Poor mobility and chronic constipation – sigmoid volvulus
• History of hiatal hernia – gastric volvulus
• History of peptic ulcers – ruptured ulcer or erosion and bleeding
• Atrial fibrillation – mesenteric ischemia
• Prior surgeries – bowel obstruction or internal hernia
• Ascites – spontaneous bacterial peritonitis
• Abdominal pain AND another symptom (such as chest pain, back pain, pulse differences, leg pain, focal weakness, or syncope) – aortic dissection