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Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... evaluations that ... • Skin changes ... Ovarian CA Diffuse ... wall painAbdominal
PALM RASHES 
Common features and patterns:
1.	Color:
o	Red or erythematous: Common in inflammatory or allergic reactions.
o	Purple or purpuric:
Common features and patterns ... occur in chronic skin ... post-inflammatory hyperpigmentation ... o Pain or burning ... Drug Reactions: Diffuse
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
After appropriate evaluation ... periumbilical, midline or diffuse ... abdominal pain ... stereotypical pattern ... following: anorexia, nausea