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DDx Abd pain

Pt Assessment

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
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