Abdominal pain: Difference between revisions

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==DDX ==
==DDX ==
===Killers===
===Killers===
# AAA
# [[AAA]]
# Mesenteric Ischemia
# Mesenteric Ischemia
# Bowel Perforation
# Bowel Perforation
# Small Bowel Obstruction
# Small Bowel Obstruction
# Sigmoid Volvulus
# Sigmoid Volvulus
# Ectopic Pregnancy
# [[Ectopic Pregnancy]]
# Placental Abruption
# Placental Abruption
# MI
# [[ACS]]


===Diffuse===
===Diffuse===
# Peritonitis
# Peritonitis
# Acute pancreatitis
# Acute [[Pancreatitis]]
# Sickle cell crisis
# [[Sickle Cell Crisis]]
# Early appendicitis
# Early [[Appendicitis]]
# Mesenteric thrombosis
# Mesenteric thrombosis
# Gastroenteritis
# Gastroenteritis
# Dissecting/rupturing aneurysm
# Dissecting/rupturing aneurysm
# Intestinal obstruction
# Intestinal obstruction
# Diabetes
# [[Diabetes]]
   
   
===RUQ===
===RUQ===
# Acute cholecystitis/biliary colic
# [[Acute Cholecystitis]]/[[Biliary colic]]
# Acute hepatitis
# [[Acute hepatitis]]
# Hepatic abscess
# Hepatic abscess
# Hepatomegaly due to CHF
# Hepatomegaly due to [[CHF]]
# Perforated duodenal ulcer
# Perforated duodenal ulcer
# Acute pancreatitis (can be bilateral)
# Acute [[Pancreatitis]] (can be bilateral)
# Retrocecal appendicitis
# Retrocecal appendicitis
# Herpes zoster
# Herpes zoster
# Myocardial ischemia
# Myocardial ischemia
# Right lower lobe pneumonia
# Right lower lobe [[Pneumonia]]
# Bowel obstruction
# Bowel obstruction
   
   
===Epigastric===
===Epigastric===
# Gallbladder disease
# [[Gallbladder Disease]]
# GERD
# GERD
# PUD
# PUD
# Gastritis
# Gastritis
# Acute pancreatitis
# Acute [[Pancreatitis]]
# Splenic enlargement/rupture/infarction/aneurysm
# Splenic enlargement/rupture/infarction/aneurysm
# Myocardial ischemia
# Myocardial ischemia
# Pericarditis/Myocarditis  
# [[Pericarditis]]/Myocarditis  
# Aortic dissection
# [[Aortic Dissection]]
   
   
===LUQ===
===LUQ===
# Gastritis
# Gastritis
# Acute pancreatitis
# Acute [[Pancreatitis]]
# Splenic enlargement/rupture/infarction/aneurysm
# Splenic enlargement/rupture/infarction/aneurysm
# Myocardial ischemia
# [[Myocardial Ischemia]]
# Left lower lobe pneumonia
# Left lower lobe [[Pneumonia]]
   
   
===RLQ===
===RLQ===
# Appendicitis
# [[Appendicitis]]
# Regional enteritis
# Regional enteritis
# Meckel's diverticulitis
# Meckel's diverticulitis
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# Leaking aneurysm
# Leaking aneurysm
# Abdominal wall hematoma
# Abdominal wall hematoma
# Ruptured ectopic
# Ruptured [[Ectopic]]
# Twisted ovarian cyst
# Twisted ovarian cyst (torsion)
   
   
===LLQ===
===LLQ===
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# Ruptured ectopic
# Ruptured ectopic
# Mittleshmerz
# Mittleshmerz
# Twisted ovarian cyst
# Twisted ovarian cyst (torsion)
   
   
===Pelvic===
===Pelvic===
# Mittelschmerz
# Mittelschmerz
# Endometriosis
# Endometriosis
# Ureteral calculi
# Ureteral calculi ([[Kidney Stone]])
# Seminal vesiculitis
# Seminal vesiculitis
# Psoas abscess
# Psoas abscess
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===Extra-Abdominal===
===Extra-Abdominal===
# MI
# [[MI]]
# Aortic Dissection
# [[Aortic Dissection]]
# AAA  
# [[AAA]]
# PNA
# [[PNA]]
# PE
# [[PE]]
# Testicular Torsion
# [[Testicular Torsion]]
# Herpes zoster
# Herpes zoster
# Muscle spasm
# Muscle spasm
# Strep pharyngitis (children)
# [[Strep Pharyngitis]] (children)
# Mononucleosis
# Mononucleosis
# DKA
# [[DKA]]
# ETOH ketoacidosis
# ETOH ketoacidosis
# Uremia
# Uremia

Revision as of 21:49, 18 July 2011

Workup

  1. B-hCG
  2. CBC
  3. Chem 7
  4. LFTs
  5. Lipase
  6. UA/Gm stain/UCx
  7. Guaiac
  8. IVF
  9. ECG (>50 yo)
  10. ?CXR
  11. ?Coags
  12. ?contrast --> CT
  13. ?US

DDX

Killers

  1. AAA
  2. Mesenteric Ischemia
  3. Bowel Perforation
  4. Small Bowel Obstruction
  5. Sigmoid Volvulus
  6. Ectopic Pregnancy
  7. Placental Abruption
  8. ACS

Diffuse

  1. Peritonitis
  2. Acute Pancreatitis
  3. Sickle Cell Crisis
  4. Early Appendicitis
  5. Mesenteric thrombosis
  6. Gastroenteritis
  7. Dissecting/rupturing aneurysm
  8. Intestinal obstruction
  9. Diabetes

RUQ

  1. Acute Cholecystitis/Biliary colic
  2. Acute hepatitis
  3. Hepatic abscess
  4. Hepatomegaly due to CHF
  5. Perforated duodenal ulcer
  6. Acute Pancreatitis (can be bilateral)
  7. Retrocecal appendicitis
  8. Herpes zoster
  9. Myocardial ischemia
  10. Right lower lobe Pneumonia
  11. Bowel obstruction

Epigastric

  1. Gallbladder Disease
  2. GERD
  3. PUD
  4. Gastritis
  5. Acute Pancreatitis
  6. Splenic enlargement/rupture/infarction/aneurysm
  7. Myocardial ischemia
  8. Pericarditis/Myocarditis
  9. Aortic Dissection

LUQ

  1. Gastritis
  2. Acute Pancreatitis
  3. Splenic enlargement/rupture/infarction/aneurysm
  4. Myocardial Ischemia
  5. Left lower lobe Pneumonia

RLQ

  1. Appendicitis
  2. Regional enteritis
  3. Meckel's diverticulitis
  4. Cecal diverticulitis
  5. Leaking aneurysm
  6. Abdominal wall hematoma
  7. Ruptured Ectopic
  8. Twisted ovarian cyst (torsion)

LLQ

  1. Sigmoid diverticulitis
  2. Leaking aneurysm
  3. Ruptured ectopic
  4. Mittleshmerz
  5. Twisted ovarian cyst (torsion)

Pelvic

  1. Mittelschmerz
  2. Endometriosis
  3. Ureteral calculi (Kidney Stone)
  4. Seminal vesiculitis
  5. Psoas abscess
  6. Mesenteric adenitis
  7. Incarcerated hernia
  8. Endometriosis

Extra-Abdominal

  1. MI
  2. Aortic Dissection
  3. AAA
  4. PNA
  5. PE
  6. Testicular Torsion
  7. Herpes zoster
  8. Muscle spasm
  9. Strep Pharyngitis (children)
  10. Mononucleosis
  11. DKA
  12. ETOH ketoacidosis
  13. Uremia
  14. Sickle cell disease
  15. Porphyria
  16. SLE
  17. Vasculitis
  18. Glaucoma
  19. Hyperthyroidsim
  20. Methanol poisoning
  21. Heavy metal toxicity
  22. Addison's Disease
  23. Acute Porphyria

Source

3/20/06 DONALDSON (adapted from Rosen)

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