🚨 Red Flag: Pain Out of Proportion to Exam

Patient writhing in agony but abdomen is soft and non-tender?

Think mesenteric ischemia — 70-90% mortality if missed.

High-risk context:
• Atrial fibrillation
• Cardiovascular disease
• Recent cardiac procedure
• Hypercoagulable state

Soft abdomen ≠ safe abdomen. Escalate immediately.