Please enable JavaScript.
Coggle requires JavaScript to display documents.
44 Yr FM w/ epigastric pain for 4 weeks (GI (Stomach (Peptic Ulcer (H.…
44 Yr FM w/ epigastric pain for 4 weeks
GI
Esophagus
Esophagitis
GERD
S: Acid taste in mouth, worse with lying down
Mallory-Weiss Tear (unlikely)
S: Vomiting with hematesis
Stomach
Peptic Ulcer
H. Pylori Infection
S: Worse with food, better with vomit, Melena, hematemesis
Drug Induced (NSAID, steroid)
S: Worse with food, better with vomit, Melena, hematemesis
Gastric Carcinoma
S: Early - constant pain (no connection to meals) Late - early satiety, vomiting undigested food, dysphagia, LOA, LOW
PE: Virchow's Node
Gastritis
Gastroparesis
Hx: History of diabetes
Duodenum
Peptic Ulcer
S: Better with food
Pancreas
Pancreatitis
S: Pain radiating to back, relieved by forward bending, vomiting, Pale stool
PE: Turner's Sign (ecchy in flanks), Cullen"s Sign (ecchy in periumbilical region)
Pancreatic Tumor
S: Obstructive Jaundice symptoms
Others
Intestinal Obstruction
Biliary Tree
Cholelithiasis
S: Worse after fatty meal
Cholangitis
S: Fever
Cholecystitis
S: Fever PE: Murphy's Sign
Others
Cardiac
MI (unlikely)
Vascular
Mesenteric Ischemia
Pregnancy
Hx: Last menses
Diabetic Ketocidosis
Jimin Suh TeamLead 18