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PANCE DDx Abd pain
PANCE Review
| Question | Answer |
|---|---|
| LLQ | Diverticulitis, gastroenteritis / colitis, constipation, IBS, IBD, colon ca; PID, ovarian, ectopic PG; testicular, intestinal ischemia, hernia; urinary calculi, abuse, HZ |
| LUQ | Gastritis, gastroenteritis, panc, PUD: spleen: megaly, rupture, infarct; LL lobe pneumo, pyelo, MI ischemia/ pericarditis, gastric ca, herniated disk, abd abscess, abuse, HZ |
| RLQ | appy, gastroenteritis / colitis, IBS, IBD; PID, ovarian, ectopic PG, cystitis, hernia, testicular, prostatitis, divertic, colon ca, urin calc, intest ischemia/ obstruction, abd ao aneurysm, meckels, mesenteric adenitis, HZ |
| RUQ | biliary, hep (viral, toxic, etoh), retro appy, panc, PUD, liver abscess, shock liver, hep v. obstruction, RL lobe pneumo, pyelo, urin calc, FHC syndrome/PID, liver cell adenoma, HZ, herniated disk, abd abscess, intest ischemia, abuse |
| RUQ: biliary colic vs cholecystitis | b-colic: pain resolves in <6 hrs, nl WBC, LFTs; chole: pain more intense, >6 hr, fever, elev wbc, bili, AST/ALT |
| No n/v/fever; poss hypotensive/ tachy, syncope, back pain, pulsatile abd mass = | AAA |
| diverticulitis | LLQ pain, n/v, fever, usually hemo stable |
| Causes of upper GIB | esophageal varices; M-W tear; PUD; Dieulafoy lesion |
| Causes of lower GIB | AVM; diverticular/Meckel; colon ca; hemorrhoids |
| pancreatitis causes: | I GET SMASHED: idiopathic; gallstones; ethanol; trauma; steroids; mumps; autoimmune; scorpion sting; hypercalcemia, hypertriglyceridemia, hypothermia; ERCP; drugs (e.g., azathioprine, diuretics) |
| SBO DDx | AMI, chole, panc, PUD, mesent ischemia, diverticulitis, gastroenteritis |
| Diarrhea DDx | infxs (SSYC EC; noro,rota; giardia); mesent ischemia, GIB, IBD, colon ca, laxative abuse, celiac sprue, lactose intol, thyrotoxicosis |
Created by:
Abarnard
on 2011-03-12