Diagnosis on the spotFree in the app
Abdominal pain in pregnancy
Obstetric vs non-obstetric causes.
Source: Standard teachingCause
| <24 weeks | Miscarriage, ectopic, fibroid degeneration, ovarian torsion/cyst accident, UTI, appendicitis. |
|---|---|
| >24 weeks | Labour (term/preterm), abruption, uterine rupture, chorioamnionitis, HELLP (RUQ/epigastric). |
| Any time | Appendicitis (displaced upward), pyelonephritis, cholecystitis, pancreatitis, bowel obstruction. |
Do
- Obs, urine dip & MSU, CTG if viable
- FBC, CRP, U&E, LFTs, amylase; PET bloods if epigastric pain
- Ultrasound; MRI if appendicitis suspected
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.