title: Tanda Bahaya

description: Tanda bahaya dari Nyeri Perut

Abdominal aortic aneurysm (AAA)

• Most AAAs are asymptomatic until rupture.
• Abdominal or back pain suggests expansion of the AAA.
• The first symptom of an AAA may be thrombosis or embolization to a distal site.
• Only 50% of patients survive a ruptured AAA.

Adnexal torsion

Presents as sudden onset of pain in the lower abdomen on the affected side. Urinary urgency, nausea, and vomiting may accompany the pain.

Adrenal insufficiency, acute

Hypotension is the most concerning feature; often accompanied by abdominal pain, fever, confusion, fatigue, nausea, and vomiting.

Aortic dissection, thoracic

• Acute abdominal pain occurs in 22% of dissections of the ascending aorta (Stanford Classification type A) and in 43% of those involving the aorta distal to the origin of the left subclavian artery (Stanford Classification type B).
• 40%–50% of untreated patients with dissection of the proximal aorta die within 48 hours. For those who survive beyond 48 hours, 1-year mortality is 90%.7
• Patients present with sharp, “tearing” pain in the chest, back, or abdomen. The pain is maximal at its onset, as opposed to the crescendo nature of acute myocardial infarction. The pain may move inferiorly over time, which likely corresponds to extension of the aortic dissection.