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DD of left hypochondreal pain (Poe) - Coggle Diagram
DD of left hypochondreal pain (Poe)
Gastrointestinal System
Splenic Causes:
Splenomegaly:
Mechanism: Enlargement of the spleen due to various causes (e.g., infections, liver disease).
Presentation: Left upper quadrant fullness, discomfort, and possible early satiety.
Splenic Rupture:
Mechanism: Trauma or infection leading to splenic hemorrhage.
Presentation: Sudden onset of severe left upper quadrant pain, hypotension, and signs of shock.
Gastric Causes:
Gastritis:
Mechanism: Inflammation of the gastric mucosa, often due to NSAID use or alcohol.
Presentation: Epigastric pain, nausea, and potential hematemesis.
Peptic Ulcer Disease:
Mechanism: Ulceration of the gastric or duodenal lining.
Presentation: Burning pain in the stomach, especially after meals, possibly with nausea.
Pancreatic Causes:
Pancreatitis:
Mechanism: Inflammation of the pancreas, often due to gallstones or alcohol.
Presentation: Severe, persistent epigastric pain that may radiate to the left shoulder, nausea, and vomiting.
Pancreatic Cancer:
Mechanism: Malignancy affecting the pancreas leading to obstruction and pain.
Presentation: Jaundice, weight loss, and abdominal pain.
Respiratory System
Pneumonia:
Left Lower Lobe Pneumonia:
Mechanism: Infection affecting lung tissue.
Presentation: Pleuritic chest pain, cough, fever, and sputum production.
Pleural Effusion:
Mechanism: Accumulation of fluid in the pleural space.
Presentation: Dyspnea, cough, and left-sided chest pain, often worsened by deep breathing.
Cardiovascular System
Myocardial Infarction:
Mechanism: Ischemic damage to the heart muscle, often due to coronary artery occlusion.
Presentation: Chest pain, which may radiate to the left shoulder, arm, or jaw, along with diaphoresis and nausea.
Aortic Dissection:
Mechanism: Tear in the aortic wall leading to severe, sharp pain.
Presentation: Sudden onset of severe chest or back pain that may radiate to the abdomen.
Musculoskeletal System
Costochondritis:
Mechanism: Inflammation of the costal cartilage, often due to trauma or overuse.
Presentation: Localized pain exacerbated by movement or palpation of the chest wall.
Rib Fracture:
Mechanism: Trauma leading to fracture of the ribs.
Presentation: Sharp pain with movement, deep breathing, or palpation.
Urogenital System
Left Kidney Pathologies:
Renal Colic:
Mechanism: Ureteral obstruction due to kidney stones.
Presentation: Severe flank pain that may radiate to the left hypochondrium, hematuria, and nausea.
Pyelonephritis:
Mechanism: Infection of the kidney leading to inflammation.
Presentation: Flank pain, fever, chills, and dysuria.
Ectopic Pregnancy (Left-sided):
Mechanism: Implantation of a fertilized egg outside the uterus.
Presentation: Abdominal pain, possible vaginal bleeding, and signs of shock.