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Acute Worsening Abdominal Pain, Learning Issues - Coggle Diagram
Acute Worsening Abdominal Pain
Differential Diagnosis
Periumbilical
Ascariasis
Open air defecation
Ascaris contaminated river water
Ascaris egg hatched in small intestine
Larvae goes through blood stream
Larvae matures in the lungs
Adult worm gets reingested after cough
2 more items...
Epidemiology
Prevention & education
Prevention
Take deworming medication regularly
Do not defecate in the open
Maintain cleanliness and hygiene
Education
Separate toilets from drinking water source
Importance of maintaining cleanliness
Etiology
Treatment & management
Right Lumbar
Left Lumbar
Left Iliac
Right Hypocondriac
Hypogastric
Epigastric
Gastritis
Obstruction
Right Iliac
Left Hypocondriac
Pancreatitis
Localized in left hypochondriac
Splenic infarct
Key Words
Worsening abdominal pain
Began 2 days ago
Female
25 years old
Diagnostic Approach
Physical Examination
No rigidity
Hyperactive bowel sounds
Periumbilical distention
Radiology
Peripheral multiple-air-fluid levels
Laboratory Examination
FBC
Hemoglobin (10.8 g/dl) (12-16)
Neutrophil (86.8 %) (60%)
Leukocyte 17.8 x 10^9/L
Feces analysis
Ascaris spp. Egg found
Anamnesis
Additional symptoms
Recent weight loss
Pale
Mild fever
Vomiting
Inability to pass stool or gas
All region, periumbilical focused
Intermittent cramplike pain
History of past illness
Ascaris worm in stool 1 month ago untreated
Learning Issues
Epidemiology
Etiology
Pathophysiology
Clinical Approach
Clinical Intrepertation
Prognosis