What is typically the first step in managing a patient like Esther with abdominal pain?

The first step in managing a patient presenting with abdominal pain, such as Esther, is a comprehensive physical examination. This initial assessment is crucial because it helps to establish the severity and potential cause of the pain. During the examination, the clinician can gather vital information about the patient's condition, including any associated symptoms, the pain's characteristics, and any physical signs that may point toward a specific diagnosis.

A thorough physical examination can help narrow down differential diagnoses, leading to targeted and appropriate next steps in management, whether that involves further diagnostic imaging, laboratory tests, or specific treatments. It is essential for the clinician to understand the patient's overall clinical picture before proceeding with more invasive interventions, such as surgery, or less urgent measures. This foundational step ensures that patient care is both effective and efficient, addressing the most pressing concerns first based on clinical findings.