Evaluation & Differential Diagnosis of Acute Abdominal Pain
 

What will you receive from this course?

  • A straightforward 4 step approach for evaluating acute abdominal pain in an adult and asking the right questions (useful for clinic, emergency, and hospital settings).
  • An overview of many of the most common and life-threatening causes of acute abdominal pain — and the best imaging choice to evaluate them.
  • Practical strategies to narrow an abdominal pain differential diagnosis based on associated symptoms.
  • Interesting case studies for decision-making practice and to reinforce what you've learned.



What topics are covered?

Appendicitis, RUQ pain, LLQ pain, RLQ pain, LUQ pain, epigastric pain, suprapubic pain, extra-abdominal causes of abdominal pain, periumbilical pain, DKA, MI, diffuse abdominal pain, hepatitis, cholecystitis, cholangitis, ultrasound, McBurney's Point, inguinal hernia, nephrolithiasis, IBS, mesenteric adenitis, diverticulitis, free air under the diaphragm, pancreatitis, gastritis pain, splenic abscess, gastric ulcer, urinary tract infection, intermittent abdominal pain, porphyria, shock, peritonitis, BRBPR, ruptured aortic aneurysm, intussusception, hyperactive bowel sounds, jaundice, PID, rebound tenderness, nausea and vomiting, & and many others...


Is this course "comprehensive"?

No (that would take a long time).  Dr. Seheult provides a straightforward approach to evaluate abdominal pain and valuable clinical perspective of important causes of abdominal pain.  Learn a framework of acute abdominal pain that makes adding additional knowledge easier.

Video 1: Extra-abdominal causes of pain & local vs. diffuse pain
  • Video 1
  • Quiz 1
Video 2: Peritonitis & Persistent vs. Intermittent Pain
  • Video 2
  • Quiz 2
Video 3: Associated Clues, Signs, and Symptoms of Abdominal Pain
  • Video 3
  • Quiz 3
Congratulations! CME/CE Certificate
  • Your CME / CE Certificate

Course Overview

Evaluation of Acute Abdominal Pain Explained Clearly is a course designed to clarify, review, and augment the training and understanding of primary care clinicians in the diagnosis and treatment of the most common causes of acute abdominal pain. The modules included in this course take a departure from the traditional slide presentation style lecture. Instead, the course is comprised of a series of video lectures aided by real-time instructor-led chalkboard visuals. This method of learning allows for the subject matter to be broken down to the basics and is designed to increase learning and retention. 

 

Acute abdominal pain can be a signal of a serious or life-threatening medical condition. Many primary care clinicians lack a systematic approach for identifying the underlying causes of abdominal pain, including which imaging strategies to use and how to narrow a diagnosis based on symptoms. This CME course will utilize a combination of videos, quizzes, and systematic discussion of clinical scenarios and practice cases to effectively deliver the course content. 



Course Objectives:

As a result of this educational activity, participants should be better able to:

  • Diagnose abdominal pain complaints by utilizing a system driven by the location of abdominal pain.   
  • Describe the significance of intermittent versus persistent pain in the abdomen.  
  • Identify the correct radiographic test to order based on the nature and location of acute abdominal pain.  


Post-Test and Evaluation:

After completing the CME activity, you must successfully complete a post-test and fill out a program evaluation form. You will then be able to view and print your CME certificate.


Faculty

Roger D. Seheult, MD
Pulmonary, Critical Care, and Sleep Medicine
Beaver Medical Group, Redlands, CA
Associate Clinical Professor
UC Riverside School of Medicine, Riverside, CA
Assistant Professor of Medicine
Loma Linda University School of Medicine
Loma Linda, CA


Accreditation

ACCME AccreditedAMA PRA Category 1 Credits™: Continuing Education Company, Inc. (CEC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Continuing Education Company, Inc. designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

To receive CME credit and/or MOC points, you MUST complete the activity and the evaluation form. For ABIM MOC points, your information will be shared with the ABIM through the ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1 hour of Category I credit for completing this activity.

AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

     Release Date: 7/12/2019
     Expiration Date: 7/12/2022 (Date after which this enduring material is no longer certified for credit.)
     Medium: Enduring Material, Video/Audio


Educational Partners

This activity is a result of a joint partnership between Continuing Education Company and MedCram. 


Faculty/Planning Committee Disclosures

Review Committee:

The following individuals have indicated that he/she (nor spouse/partner) have no relevant financial relationships with a commercial interest that may impact upon this CME activity:

  • Beth Townsend, HMCC – Reviewer (Continuing Education Company)
  • Roger Seheult, MD- Faculty
  • Kyle Allred, PA-C – Planner & Content Developer (MedCram)


Faculty Disclosures:

Roger Seheult, MD (Faculty) discloses that he is a consultant for Janssen Pharmaceuticals, Inc.

Unlabeled Use Declaration:

During their presentation, faculty may discuss unlabeled or investigational use which is not approved for a commercial product. Faculty members are required to disclose this information to the audience when referring to an unlabeled or investigational use.

Statement of Disclosure and Independence:

It is the policy of Continuing Education Company (CEC) to ensure all of its accredited educational activities are designed, implemented, and evaluated in accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Criteria and Policies. In accordance with ACCME requirements, CEC has Conflict of Interest (COI) and Disclosure Policies that are designed to ensure that accredited educational activities are fair, balanced, independent, evidence-based, and based on scientific rigor.

All individuals who are in position to influence and/or control content of a CEC accredited Continuing Medical Education (CME) activity must disclose any relevant financial interest or other relationships which they or their spouse/partner have with (a) with the manufacturer(s) of any commercial products(s) and/or provider(s) of commercial services discussed in an educational presentation and (b) with any commercial supporters of the activity. (Relevant financial interest or other relationship includes such things as grants or research support, employee, consultant, major stockholder, member of speakers’ bureau, etc.) The intent of this disclosure is to provide activity participants with information to determine whether the speaker’s interests or relationships may influence the presentation with regard to exposition or conclusions. All potential conflicts of interest have been identified and resolved, and are listed above.

The opinions, ideas, recommendations, and perspectives expressed in the syllabus and accompanying presentations at this activity are those of the program authors and presenting faculty only and do not necessarily reflect the opinions, ideas, recommendations or perspectives of their affiliated institutions, Continuing Education Company, advisory boards or consultants.


Computer Requirements

Flash Player 10 or later, and one of the following browsers:

  • Windows: Internet Explorer 6 and later, Microsoft Edge (latest version), Firefox 1.x and later, Google Chrome (latest version), Opera 9.5 and later
  • Mac: Safari 3 and later, Firefox 1.x and later, Google Chrome (latest version)
  • Linux: Firefox 1.x and later

HTML5 via one of the following browsers:

  • Windows: Google Chrome (latest version)
  • Mac: Safari 6.0.5 or later, Google Chrome (latest version)
  • Mobile: Safari in Apple iOS 6 or later


Roger Seheult M.D. is approved by the California Board of Registered Nursing, Provider # CEP16824.  This course is approved for 1 CE contact hours.

JENNIFER LORGAN

JOSE IGNACIO CUAUTLE HERNANDEZ (Medical Student)

good

TE DU, MD

ANNETTE FONTANEZ, NP

LOVE LOVE LOVE MEDCRAM

MICHELLE POURTABIB, MD

MOHAMMED MUFTAH, MD

GLENN VELEZ, PA-C

It was very helpful by expanding the differential diagnosis for each of the quadrants commonly considered when evaluating abdominal pain

JUDITH COOK (NP Student)

AESSA BATES, NP

HUGO DO CARMO

LEWIS LITWACK, MD

Need more challenging cases

BLANCA LANSANG

DAVE ROSS

KRISTIN WRIGHT (NP Student)

REFAT PARVEEN, MD

DAVID FAIR (NP Student)

CHERYL-LYNNE MCCALLA

MIKHAIL KOLOMOYTSEV (NP Student)

SHOBHA IYENGAR, MD

easy to understand

ANNA TSUBER, RN

DAVID LICATA

Enjoyed the tour of the abdomen, would like to see some case studies as well please.

SIYOUNG CHOI, MD

SANDRA RAMIREZ, PA-C

Excellent

JOY KIM, MD

MARIA GHALLY (NP Student)

BINDU SOMAN, NP

excellent

JACQUELINE RUSSELL (Medical Student)

SONYA MYLES

This course breaks down acute abdominal pain into basic steps to guide diagnosis, very helpful!

ASHLEE GARCIA, NP

JEANETTA STOMER, NP

Excellent, straight to the point and gives a great baseline in patients care.

JASON ELLIOTT

PRIYA MATHAI

LEONID BRODSKY, MD

SEBASTIAN HAUPT (Medical Student)

Explained very well

AUBREY PITTS

THOMAS WHITE

MARION SCHWIRTZ

ALEKSEY KARAVAEV

Good

ZSUZSANNA GERENCSER, MD

THERIN HILL, PA-C

KATHARINE LASLEY, MD

TAMMY ALVERSON, MD

JASON LITALIEN, RN

Great content, extremely helpful. Thank you!

KEVIN ISBELL

I love all of these videos. As a nurse practitioner student, these have really helped me understand some common pathological changes, diagnosis, and treatment modalities.

NATALIE COMISKEY

BERHANU BEDASSA, NP

THERESA SILVESTRE-MAALIHAN

IVAN POPOV

Excellent presentation.

JENNY BARNES, RN

OLA ABIMBOLA

FERNANDO FERNANDEZ ARCAS, MD

MARIE BARSEGHIAN

great info . Would like to see treatments /antibiotics/meds for the conditions.

CHRISTINE SLACK

MIGUEL PAJATE

CARMENCITA DAVILA

MIKAEL DENINNO

DELIA BERINDE, MD

Explained clearly , very good course, too short though. I would've loved to get some info about abdominal pain in children and more about abdominal Rx. Great cases, scenarios were very well presented

CLINTON SMITH

Very well explained and easy to understand. Stepwise approach taken to evaluation abdominal pain. Thank you!!!

GAYLE GWOZDZ, NP

Informative. Good format. Disappointing for those who don't read xrays that abd film was not explained, but all others were. Annoying to have to sit through whole intro again for each case study-waste of my time.

DANIEL STURDEVANT, Paramedic

Great course. I wish there was a little more time spent on some of the differential slides, but that’s what the pause button is for. I would like to see more on some of these individual conditions and more case studies in an expanded course. Well worth the money I paid though.

DANHONG YANG, RN

ELMER JASON CRUZ

MICHAEL HULSEY, NP

WILLIAM WANG

Overall great explanation, but I was hoping for info on how to diagnose, and explanation using real cases.

NENA ROCHA

Great summary of the key points an acute abdomen.

ASHLEY CHUN

RON BURNHAM

Well organized approach to a complex set of organ systems and potential pathologies. Very practical.

CHANGHUA DAI, NP

KALANITI TP, MD

Short but good narrative lecture of various causes of Acute abdominal pain. looking for lectures on individual morbid conditions in detail.

MOLLIE CAMPBELL, MD

Would like to work through some casees

ARLAINA DUNNING, NP

RACHAEL PRINCE, NP

Not bad. Keeps everything simple.

RACHAEL CLEGHORN

ANNIE HAWKINS

Thank you!! Loved it! I appreciated the tips on ultrasound vs CTscan.

ARI RASORI, NP

Great review of the pertinent findings in abdominal pain. Since the list of differentials is so large, having a systematic approach is helpful! Thank you!!

- Quadruple Board Certified in Internal Medicine, Pulmonary Medicine, Critical Care, and Sleep Medicine.

- Over 20 years teaching experience including: as an exam preparation instructor and an assistant professor of medicine.

- Experience as a medical director for both a Southern California Physician Assistant Program and a Respiratory Therapy Program.

Click here for full bio

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