Please enable JavaScript.

Coggle requires JavaScript to display documents.

34-year-old female (moderate acute central abdominal pain (24hrs) (Diffuse…

- - - - Biliary colic
        
        steady, intense pain that may last several hours. It is usually localized to the right hypochondrium or epigastrium. It may radiate to the back or be referred to the right shoulder
      - Acute cholecystitis
        
        Episodic, severe, and located in the epigastrium or RUQ. often at night. after food. radiate to back or right shoulder. tenderness and guarding in the RUQ and Murphy's sign.
      - Acute cholangitis
        
        intermittent fever with chills, RUQ pain, and jaundice.
    - - Acute hepatitis
        
        poor appetite, malaise, fever, nausea, vomit, RUQ pain. altered mental status, asterixis, spider angiomata, edema, hepatomegaly, ascites, and jaundice.
      - Liver abscess
      - Budd-chiari syndrome
        
        fever, abdominal pain, abdominal distention (from ascites), lower extremity edema, jaundice, gastrointestinal bleeding, and/or hepatic encephalopath
      - Portal vein thrombosis
      - Perihepatitis
        
        causing pelvic inflammatory disease (PID)
        
        distinct pleuritic component, sometimes referred to the right shoulder.
  - - - anorexia, nausea and emesis, and periumbilical pain that radiates or settles in the right lower quadrant (RLQ) Rovsing sign.
    - - 50 years old with left lower quadrant pain, nausea, and fever.
  - - - severe, sharp pain in the left upper quadrant. Radiation to the left shoulder may sometimes occur, called a Kehr sign.
    - - rare! fever, splenomegaly
    - - left upper quadrant pain, left shoulder pain (Kehr sign), rebound tenderness, guarding
  - - - sudden-onset flank pain (dull) radiating to the groin, accompanied by nausea and vomiting. colicky pain typically waxes over the course of 15-30 minutes and becomes steady, unrelenting, and unbearable
    - - Fever, flank pain, and urinary symptoms (eg, dysuria or frequency).
      - part of UTI
  - - - Stomach
        
        Radiates to back
        
        Gastritis
        
        nausea, a dull epigastric pain, and occasionally emesis and bloating.
        
        Acute: 2-10 days
    - - Peptic ulcer disease
        
        NSAID/H pylori. burning epigastric pain. Gastric ulcer pain typically worsens with food intake; pain from duodenal ulcers is often alleviated with food intake.
    - - Radiates to back
        
        Acute pancreatitis
        
        nausea and vomiting. tachycardia, tachypnea, fever, and midline epigastric abdominal tenderness or rigidity
    - - Liver
        
        Radiates around the right side to back
    - - Gallbladder
        
        Radiates to right scapula
    - - Heartburn (worse when lying down), sour taste in mouth, regurgitation of food, often experienced following meals,
    - - dysphagia or dyspepsia
  - - - abdominal pain, back pain, pulsatile abdominal mass
    - - Back pain
    - - colicky (cramping and intermittent), with spasms lasting a few minutes. The pain tends to be central and mid-abdominal. Vomiting. absent bowel sounds, distension
  - - - hematuria, urinary frequency, costovertebral angle tenderness, back pain, and fever
    - - dysuria, frequency, urgency, and/or hematuria
    - - Risk factors: <25, new or multiple sexual partners, and not using contraception. lower abdominal pain that worsens with intercourse. Abnormal vaginal discharge
    - - sudden onset of sharp / stabbing pain in either the right or left lower quadrant that only lasts a few seconds to a few minutes and then resolves to a dull ache, only to recur at various intervals with sharp / stabbing pains for a short amount of time. nausea, vomit, positive rebound and guarding
    - - pain is felt lower in the abdomen and the spasms last longer. constipation. Abdominal pain and distention with absent bowel sounds.
  - - - in PUD, IBD
        
        Rigid abdomen, decreased bowel sounds, guarding and rebound tenderness, tachycardia, hypotension
    - - AF. severe abdominal pain and the passage of bloody stools. tenderness, bowel motility decreases, bloating, absent bowel sounds
    - - flares of abdominal colic, bloody diarrhea
    - - nausea, emesis, and diarrhea, and associated with malaise, fevers, and anorexia. dehydration signs: tachycardia, hypotension, and decreased skin turgor
    - - acute, severe abdominal pain with fever and diffuse abdominal tenderness with rigidity and guarding. aggravated by movement or coughing.
        
        perforated viscera (ulcer, IO, tumor, appendix, diverticulitis)
    - - post-prandial abdominal pain, diarrhea with bulky, foul-smelling, floating stools due to steatorrhea
    - - Symptoms have a rapid onset (< 24 hours) and include polyuria, polydipsia, lethargy, and abdominal pain. Kussmaul respirations. Fruity odor
    - - Addison disease
        
        hyperpigmentation of the skin
    - - periumbilical area or lower quadrants. diarrhea, bloating, and cramping abdominal pain