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Nyeri perut pada perempuan - Coggle Diagram

- - - - severe colicky abdominal pain, abdominal distention, recurrent episode, constipation, nausea, vomiting, peritoneal sign
        
        caecal obstruction
  - - - pain in LLQ abdomen, fever, unusual discharge with bad odor from vagina, pain and bleeding when have sex, burning sensation when urinate
        
        Pemeriksaan darah & urin, USG, laparoskopi, endometrial biopsy
        
        PID
- - - - severe abdominal pain, flank or back pain, radiate to groin, thigh, hematuria, abdominal bruit, hypotension
- - - - fever, chest pain when cough or breath, fatigue, sweating, shaking chills, shortness of breath, nausea, vomiting, worsening cough that produce yellow/green or bloody phlegm
  - - - intermittent RUQ pain, RUQ tenderness, abrupt onset, anorexia, nausea, vomiting, sonography: gallstones
        
        colic
      - RUQ tenderness and pain, may referred to right shoulder, fever anorexia, nausea, vomiting
        
        PF: Inspeksi distensi abdomen, palpasi: murphy sign +, massa kandung empedu, aus: bising usus turun
        
        PP: lukositosis, serum transaminase & alkali fosfatase meningkat, bilirubin serum sedikit meningkat
        
        cholecystitis
      - no fever
        
        cholelithiasis
  - - - phase 1
        
        asymptomatic
      - phase 2
        
        anorexia, nausea, vomiting, malaise, pruritus, urticaria, arthralgias, and fatigue
      - phase 3
        
        dark-colored urine and pale-colored stool, jaundice, RUQ pain with liver enlargement
      - phase 4
        
        liver enzymes returning to normal
  - - - pain in costovertebral or along course of ureter, flank tenderness
        
        colic
  - - - perut kembung, nausea, heartburn, nafsu makan turun, sulit menarik nafas
        
        duodenal ulcer
  - - - dull epigastric/LUQ pain, radiate to back, vomiting, history of consumption alcohol, amylase and lipase increase
- - - - preumbilical/epigastric pain that migrates to RLQ, anorexia, diarrhea
        
        PF: low grade fever, abdominal tenderness rebound tenderness, McBurney sign +, rovsing, psoas, obturator sign +, muscle guarding
        
        Lab: CBC, radiology: USG
        
        Appendicitis
        
        Th:/ bed rest, rehydration if dehydration, med: morphine sulfate, gentamicin, cefepime, appendectomy
      - bowel movement < 3/week, hard, dry stools that are difficult or painful to pass, stomach aches/cramps, bloated feeling
        
        constipation
      - diarrhea, fever abdominal pain and cramp, blood in stool, mouth sores, inflammation of skin, eyes and joints
        
        Chron's disease
      - gradual onset, localized, no radiation
        
        diverticulitis
  - - - pain unilateral early, may have shoulder pain after rupture, adnexal mass and tenderness, sudden onset
        
        ruptured ectopic pregnancy
- - - - nyeri dada seperti tertindih/tertekan, dapat menjalar ke lengan kiri, leher, dagu, mual, nyeri perut LUQ/epigastrik, diaforesis
        
        Myocardial infarct/MI
        
        ECG: ST elevation (STEMI), cardiac biomarker +
        
        unstable angina
        
        cardiac biomarker -
  - - - generalized peritonitis, referred pain to the left shoulder (Kehr sign), hypovolemic shock (severe)
  - - - sesak nafas, nyeri dada, muntah disertai darah, nyeri perut parah, BAB bau busuk
  - - - dull, colicky, sharp, and severe pain, nausea, vomit, hematura, fever, chills (if infected), PP: urinalysis
        
        nephrolithiasis