Abdominal pain: Difference between revisions

(Created page with "==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 ==DD...")
 
No edit summary
Line 1: Line 1:
==Workup==
==Workup==
 
# B-hCG
 
# CBC
1) B-hCG
# Chem 7
 
# LFTs
2) CBC
# Lipase
 
# UA/Gm stain/UCx
3) Chem 7
# Guaiac
 
# IVF
4) LFTs
# ECG (>50 yo)
 
# ?CXR
5) Lipase
# ?Coags
 
# ?contrast --> CT
6) UA/Gm stain/UCx
# ?US
 
7) Guaiac
 
8) IVF
 
9) ECG (>50 yo)
 
10) ?CXR
 
11) ?Coags
 
12) ?contrast --> CT
 
13) ?US
 


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


===Diffuse===
===Diffuse===
 
# Peritonitis
 
# Acute pancreatitis
* Peritonitis
# Sickle cell crisis
* Acute pancreatitis
# Early appendicitis
* Sickle cell crisis
# Mesenteric thrombosis
* Early appendicitis
# Gastroenteritis
* Mesenteric thrombosis
# Dissecting/rupturing aneurysm
* Gastroenteritis
# Intestinal obstruction
* Dissecting/rupturing aneurysm
# Diabetes
* Intestinal obstruction
* Diabetes
   
   
===RUQ===
===RUQ===
 
# Acute cholecystitis/biliary colic
 
# Acute hepatitis
* Acute cholecystitis/biliary colic
# Hepatic abscess
* Acute hepatitis
# Hepatomegaly due to CHF
* Hepatic abscess
# Perforated duodenal ulcer
* Hepatomegaly due to CHF
# Acute pancreatitis (can be bilateral)
* Perforated duodenal ulcer
# Retrocecal appendicitis
* Acute pancreatitis (can be bilateral)
# Herpes zoster
* Retrocecal appendicitis
# Myocardial ischemia
* Herpes zoster
# Right lower lobe pneumonia
* Myocardial ischemia
# Bowel obstruction
* Right lower lobe pneumonia
* Bowel obstruction
   
   
===Epigastric===
===Epigastric===
 
# Gallbladder disease
 
# GERD
* Gallbladder disease
# PUD
* GERD
# Gastritis
* PUD
# Acute pancreatitis
* Gastritis
# Splenic enlargement/rupture/infarction/aneurysm
* Acute pancreatitis
# Myocardial ischemia
* Splenic enlargement/rupture/infarction/aneurysm
# Pericarditis/Myocarditis  
* Myocardial ischemia
# Aortic dissection  
* Pericarditis/Myocarditis  
* Aortic dissection  
   
   
===LUQ===
===LUQ===
 
# Gastritis
 
# Acute pancreatitis
* Gastritis
# Splenic enlargement/rupture/infarction/aneurysm
* Acute pancreatitis
# Myocardial ischemia
* Splenic enlargement/rupture/infarction/aneurysm
# Left lower lobe pneumonia
* Myocardial ischemia
* Left lower lobe pneumonia
   
   
===RLQ===
===RLQ===
 
# Appendicitis
 
# Regional enteritis
* Appendicitis
# Meckel's diverticulitis
* Regional enteritis
# Cecal diverticulitis
* Meckel's diverticulitis
# Leaking aneurysm
* Cecal diverticulitis
# Abdominal wall hematoma
* Leaking aneurysm
# Ruptured ectopic
* Abdominal wall hematoma
# Twisted ovarian cyst
* Ruptured ectopic
* Twisted ovarian cyst
   
   
===LLQ===
===LLQ===
 
# Sigmoid diverticulitis
 
# Leaking aneurysm
* Sigmoid diverticulitis
# Ruptured ectopic
* Leaking aneurysm
# Mittleshmerz
* Ruptured ectopic
# Twisted ovarian cyst
* Mittleshmerz
* Twisted ovarian cyst
   
   
===Pelvic===
===Pelvic===
 
# Mittelschmerz
 
# Endometriosis
* Mittelschmerz
# Ureteral calculi
* Endometriosis
# Seminal vesiculitis
* Ureteral calculi
# Psoas abscess
* Seminal vesiculitis
# Mesenteric adenitis
* Psoas abscess
# Incarcerated hernia
* Mesenteric adenitis
# Endometriosis
* Incarcerated hernia
* Endometriosis


===Extra-Abdominal===
===Extra-Abdominal===
 
# MI
 
# Aortic Dissection
* MI
# AAA  
* Aortic Dissection
# PNA
* AAA  
# PE
* PNA
# Testicular Torsion
* PE
# Herpes zoster
* Testicular Torsion
# Muscle spasm
* Herpes zoster
# Strep pharyngitis (children)
* Muscle spasm
# Mononucleosis
* Strep pharyngitis (children)
# DKA
* Mononucleosis
# ETOH ketoacidosis
* DKA
# Uremia
* ETOH ketoacidosis
# Sickle cell disease
* Uremia
# Porphyria
* Sickle cell disease
# SLE
* Porphyria
# Vasculitis
* SLE
# Glaucoma
* Vasculitis
# Hyperthyroidsim
* Glaucoma
# Methanol poisoning
* Hyperthyroidsim
# Heavy metal toxicity
* Methanol poisoning
# Addison's Disease  
* Heavy metal toxicity
# Acute Porphyria
* Addison's Disease  
* Acute Porphyria


==Source ==
==Source ==
3/20/06 DONALDSON (adapted from Rosen)
3/20/06 DONALDSON (adapted from Rosen)


[[Category:GI]]
[[Category:GI]]

Revision as of 05:32, 14 March 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. MI

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

LLQ

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

Pelvic

  1. Mittelschmerz
  2. Endometriosis
  3. Ureteral calculi
  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)

Retrieved from "https://www.wikem.org/w/index.php?title=Abdominal_pain&oldid=1466"