Abdominal Pain – Character

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  • Constant/Dull = capsular stretching/inflammation  (e.g. hepatitis)
  • Colicky = hollow viscus obstruction (e.g. SBO, LBO, renal colic)
  • Localizing/Sharp = inflammation adherent to peritoneum (e.g. appendicitis, cholecystitis, diverticulitis)

NB biliary colic is not colicky in nature but constant due to gallbladder wall distension

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