Table Of Contents
Abdominal Pain
- Think anatomically if visceral pain (vs. neuropathic vs. somatic)
- RUQ and GU = US
- All other areas = CT
Abdominal Pain DDX
Right | Center | Left | |
Upper | Gallstones Biliary Colic Cholecystitis Stomach Ulcer Duodenal Ulcer Hepatitis Pancreatitis | Heartburn/GERD Indigestion Hiatal Hernia Epigastric Hernia Stomach Ulcer Duodenal Ulcer Hepatitis Pancreatitis Abdominal Aortic Aneurysm | Functional Dyspepsia Gastritis Stomach Ulcer Biliary Colic |
Mid | Nephrolithiasis Pyelonephritis Inflammatory Bowel Disease Constipation Lumbar Hernia | Umbilical Hernia Early Appendicitis Stomach Ulcer Inflammatory Bowel Disease Pancreatitis Abdominal Aortic Aneurysm | Nephrolithiasis Pyelonephritis Inflammatory Bowel Disease Constipation |
Lower | Appendicitis Inflammatory Bowel Disease Constipation Pelvic Pain (Gynecology) Ovarian Cyst Ovarian Torsion Ovarian Cyst Rupture Endometriosis Ectopic Pregnancy Mittelschmerz (Ovulation pain) Pelvic Inflammatory Disease | Bladder Infection Prostatitis Inflammatory Bowel Disease Inguinal Hernia (Groin pain) Pelvic Pain (Gynecology) | Diverticulosis Diverticulitis Constipation Irritable Bowel Syndrome Inflammatory Bowel Disease Pelvic Pain (Gynecology) Inguinal Hernia (Groin Pain) Ovarian Cyst Ovarian Torsion Ovarian Cyst Rupture Endometriosis Ectopic Pregnancy Mittelschmerz (Ovulation pain) Pelvic Inflammatory Disease |
Gastrinoma (Zollinger-Ellison)
- Presentation:
Dx:
Gastroparesis
- Presentation:
Dx: Gastric emptying study (+) = > 60% at 2 hr or >10% at 4 hr
Tx: