Caveats about atypical presentations of abdominal pain

What are some of the caveats about atypical presentations of abdominal pain?

In certain circumstances, such as in older or immunosuppressed patients, common abdominal disorders may present in an atypical fashion. Fever may be absent or low grade, signs of peritoneal irritation may be blunted, and an altered mental status (e.g., dementia) may modify the history and physical examination.

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