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Details

Abdominal Pain DDX
ABD DDX
12
Medical
Professional
08/27/2012

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Cards

Term
Pancreatitis
Definition
Presentation: LUQ pain, Nausea, Vomiting, Diarrhea, Constipation Labs/Rads: Lipase (Most important), amylase, Ultrasound
Term
Cholelithiasis
Definition
Presentation: RUQ pain particulary after eating, Nausea, Vomiting, Diarrhea Labs/Rads: Ultrasound of RUQ
Term
Cholecystitis
Definition
Presentation: RUQ pain particulary after eating, Nausea, Vomiting, Diarrhea Labs/Rads: Ultrasound, Abdominal CT, increased WBC and liver function tests (LFTs)
Term
Appendicitis
Definition
Presentation: RLQ pain, Nausea, Vomiting, Diarrhea Labs/Rads: Ultrasound of RLQ
Term
Bowel Obstruction and Mesenteric Ischemia
Definition
Presentation: Abdominal pain (usually diffuse), Abdominal distention, constapation, Nausea, Vomiting (Maloderous), Usually elderly with Hx of abdominal surgeries, febrile (sometimes) Labs/Rads: Abdominal XR, abdominal CT, elevated lactate
Term
Diverticulitis
Definition
Presentation: Abdominal pain (diffuse), Nausea, (if serious) Hematochezia and/or febrile Labs/Rads: Abdominal CT
Term
Ectopic Pregnancy
Definition
Presenation: Lower abdominal pain, vaginal bleeding Labs/Rads: Postive serum HCG, Ultrasound
Term
Ovarian Torsion
Definition
Presenation: suprapubic abdominal/pelvic pain (usually unilateral) Labs/Rads: Pelvic exam, Pelvic ultrasound
Term
Testicular Torsion
Definition
Presenation: Testicular pain and deformaty, either spontaneous or during activity Labs/Rads: GU exam, Testicular ultrasound
Term
Kidney Stones
Definition
Presenation: Unilateral lower quadrant abdominal pain with flank pain (usually episodic), Hematuria, Nausea and vomiting secondary to pain Labs/Rads: UA, Noncontrast abdominal/pelvic CT, Ultrasound
Term
Urinary Tract Infection
Definition
Presenation: Suprapubic abdominal pain, Uninary frequency, Dysruria, Maloderous urine, AMS (sometimes in elderly) Labs/Rads: UA
Term
Pyelonephritis
Definition
Presenation: Suprapubic abdominal pain, Uninary frequency, Dysruria, Maloderous urine, AMS (sometimes in elderly) WITH fever and flank pain Labs/Rads: UA, CBC (elevated WBC), noncontrast abdominal/pelvic CT
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