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Abdominal Pain Diagnosis Guide

This document lists various potential causes of abdominal pain in different regions of the abdomen, along with key distinguishing symptoms. It discusses conditions that could cause pain in the upper right, upper left, periumbilical, lower right, and lower left quadrants. For some specific conditions like pancreatitis, pericarditis, ruptured aortic aneurysm, GERD, peptic ulcer, Zollinger-Ellison syndrome, and gastric malignancy, it provides further details on symptoms to help with diagnosis.

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Desiree Afaga
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3 views1 page

Abdominal Pain Diagnosis Guide

This document lists various potential causes of abdominal pain in different regions of the abdomen, along with key distinguishing symptoms. It discusses conditions that could cause pain in the upper right, upper left, periumbilical, lower right, and lower left quadrants. For some specific conditions like pancreatitis, pericarditis, ruptured aortic aneurysm, GERD, peptic ulcer, Zollinger-Ellison syndrome, and gastric malignancy, it provides further details on symptoms to help with diagnosis.

Uploaded by

Desiree Afaga
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd

ABDOMINAL PAIN LOCALIZE D DIFFUSE NONLOCALIZED Gastroentritis Mesenteric Ischemia Bowel Obstruction Irritable Bowel Syndrome Peritonitis Diabetes

Malaria Familial Mediterranean Fever Metabolic Disease

RUQ Cholecystiti s Biliary Colic Congestive Hepatomeg aly Hepatitis Hepatic Abscess Perforated

LUQ Splenic infarct Splenic rupture Splenic abscess Gastritis Gastric Ulcer Pancreatitis

PERIUMBILI CAL Early Appendicitis Gastroenteriti s Bowel Obstruction Ruptured

RLQ Appendicitis Salpingitis Inguinal hernia Ectopic pregnancy Nephrolithia sis Inflammator y bowel disease

LLQ Diverticuliti s Salpingitis Inguinal hernia Ectopic pregnancy Nephrolithia sis Irritable bowel

EPIGAST RIC

PANCREATITI S Dull and steady pain radiation to the back, worsened by eating Rule out: Pain aggravated by food intake (+) recurrent

PERICARDITI S Pain begins at the substernal area and may radiate to the neck, shoulders, back, epigastrium Rule out: (-) substernal

RUPTURED AORTIC ANEURYSM Mild to severe discomfort after radiating to the lower back Rule out: (-) palpable infrarenal

GERD Spontaneous reflex of sour/bitter gastric contents into the mouth Rule out: (-) heartburn

PEPTIC ULCER Etiology: - H. pylori Pain that awakens the patient from sleep, pain precipitated by food (+) nausea & vomiting (+) gnawing

ZOLLINGER ELLISON SYNDROME Ruptured Peptic Ulcer disease plus diarrhea (+) gnawing epigastric pain aggravated by food (+) frequent episodes of loose bowel movement (+) weight loss (+) vomiting Signs of Perforation: (+) black-colored stools

GASTRIC MALIGNANCY (Metastatic gastric Carcinoid tumor) (+) collapsed rectal vault (+) pararectal tenderness

References Fauci, e. (2008). Harrison's Internal Medicine 17th edition. USA: McGraw-Hll Co. McPhee, S. (2010). Current Medical Diagnosis and Treatment. USA: McGraw-Hill Co.

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