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DDxPro

Recommend to Check
  • Nausea
  • Abdominal pain
  • Abdominal distension
  • Acute
  • Chronic
  • Increase of postprandial abdominal pain
  • Heartburn
  • Feculent vomiting
  • Volume depletion
  • Hypokalemia
  • Metabolic alkalosis
  • Abdominal tenderness
  • Onset of abdominal pain
  • Right lower quadrant tenderness
  • Upper abdominal pain
  • Easy satiety
  • Pain with sleeping
  • Severe abdominal pain
  • Severe pain
  • Tachycardia
  • Extremities skin swelling
  • Face skin swelling
  • Genitals skin swelling
  • Diarrhea
  • Early satiety
  • Abdominal bleeding
Possible Diagnoses
Acute appendicitis
Acute appendicitis
Abdominal tenderness
Onset of abdominal pain
Right lower quadrant tenderness
Shift to the left
Anorexia
Mild vomiting
Nausea
Vague discomfort
Vague pain
More localized to right lower quadrant pain after several hours
Vague periumbilical pain
Migratory right iliac fossa pain
Pain migration from periumbilical to right lower quadrant
Mcburneys point tenderness
Sharper pain
Positive alvarado score
Rebound tenderness
Rebound tenderness in the right iliac fossa
Tenderness in the right iliac fossa
Fever
Acute perforated appendicitis
Shift to left
Vomiting
Vague discomfort
Vague pain
Abrupt onset abdominal pain
Acute abdominal pain
Chronic abdominal pain
Frank abdominal pain
Gastrointestinal colic
Onset of abdominal pain
Periumbilical pain
Postprandial abdominal pain
Progressive abdominal pain
Recurrent abdominal pain
More localized to right lower quadrant pain after several hours
Vague periumbilical pain
Vague visceral periumbilical pain
Mcburney's point tenderness
Right lower quadrant tenderness
Sharper pain
Gastroparesis
Gastroparesis
Nausea
Upper abdominal pain
Easy satiety
Pain with sleeping
Mild bloating
Gastric residual in four hours
Vomiting
Exacerbate after eating
Bloating
Postprandial fullness
Weight loss
Epigastric pain
Postprandial nausea
Abdominal discomfort
Burning sensation
Crampy sensation
Epigastric distention
Epigastric tenderness
Gastric retention
Localized pain
Acute intermittent porphyria
Acute intermittent porphyria
Abdominal pain
Severe abdominal pain
Severe pain
Tachycardia
Back pain
Poorly localized pain
Steady pain
Vomiting
Constipation
Chest pain
Head pain
Limb pain
Muscle weakness
Neck pain
Nausea
Psychiatric symptoms
Hypertension
Dysuria
Urinary retention
Sensory loss
Hereditary angioedema
Hereditary angioedema
Extremities skin swelling
Face skin swelling
Genitals skin swelling
Skin swelling
Exacerbating by oral contraceptives
Abdominal distension
Abdominal pain
Gastrointestinal colic
Nausea
Vomiting
Diarrhea
Exacerbating by stress
Skin sensation of fullness
Skin sensation of irritation
Skin tingling
Chicken-wire pattern of erythematous discoloration
Erythema marginatum
Erythematous discoloration
Exacerbating by bacteriuria
Exacerbating by bicycle riding
Gastroenteritis
Mucosal eosinophilic gastroenteritis
Diarrhea
Early satiety
Nausea
Vomiting
Abdominal bleeding
Acute onset of gastrointestinal bleeding
Black stool
Bleeding episodes
Blood in the vomitus
Colitis
Gi bleeding
Hemorrhagic complications
Melena
Occult blood
Stool guaiac-positive
Tarry stool
Bloody diarrhea
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
Intussusception
Intussusception
Abdominal pain
Constipation
Fever
Intermittent abdominal pain
Intermittent pain
Nausea
Vomiting
Weight loss
Rectal bleeding
Redcurrant jelly stools
Chronic
Progressive lethargy
Colicky pain
Intermittent partial bowel obstruction
Abdominal distention
Palpable abdominal mass
Leading to bowel perforation
Leading to secondary bacterial peritonitis
Peritonism
Hypovolemic shock
Pyelonephritis
Acute pyelonephritis in adults
Back pain
Costovertebral angle tenderness
Flank pain
Chills
Fever
Enlarging uterus
Hormonal changes
Dehydration
Nausea
Vomit
Autonomic dysreflexia
Change in functional status
Change in mental status
Chemotherapy
Corticosteroid
Delirium
Fall
Frequent sexual intercourse
Having new sex partner
Health care exposures
Intestinal obstruction
Intestinal obstruction
Abdominal distension
Vomiting
Appear critically ill
Crampy pain
Colicky pain
Abdominal pain
Early abnormally active bowel sounds
Nausea
Peritoneal irritation
Constipation
Abdominal tenderness
Inability to pass flatus
Abdominal mass
Early high-pitched bowel sounds
Percussion reveal tympany
Empty rectal vault
Peritoneal signs
Rectal mass
Weight loss
Constant pain
Adrenal crisis
Adrenal crisis
Shock
Abdominal pain
Back pain
Flank pain
Lower chest pain
Weakness
Meningococcemia
Circulatory failure
Hypovolemic shock
Vasodilatory shock
Fever
Primary adrenal insufficiency
Generalized tenderness
Fatigue
Lethargy
Anticoagulant
Antiphospholipid syndrome
Coagulopathy
Cytomegalovirus infection
Dehydration
Gallbladder cancer
Gallbladder cancer
Anorexia
Nausea
Vomiting
Abdominal pain
Pruritus
Weight loss
Jaundice
Malaise
Resemble cholecystitis
Palpable mass
Ascites
Extraabdominal metastases
Hepatomegaly
Paraneoplastic syndromes
Peritonitis
Peritoneal dialysis associated peritonitis
Cloudy peritoneal effluent
Abdominal pain
Peritoneal signs
Systemic signs
Abdominal tenderness
Diarrhea
Gastrointestinal complaints
Cloudy dialysate
Diffuse pain
Fever
Nausea
Vomiting
Rebound tenderness
Mildly elevated peritoneal fluid amylase
Stool in the dialysate
Severe abdominal pain
Severe pain
Hypotension
Guarding
Acute Abdominal Pain
History and physical examination
Unstable or Obvious surgical indication
Consider: Hemorrhage Perforation Acute peritonitis Bowel obstruction Ischemia
Resuscitation
Surgical consultation
LAPAROTOMY
Stable
Observation
Exclude: Medical causes
Consider: Inadequate physical manifestations
Further studies
Decreased pain
Observation
Continued pain Increased pain
Surgical Consultation
Chronic Abdominal Pain
History Physical examination, Laboratory tests
Evidence suggestive of visceral organ source
Stomach
Consider: Peptic ulcer Gastric tumor
Endoscopy Upper GI Series
Small bowel
Consider: Inflammation Tumor Obstruction
Small Bowel Follow-Through or Enteroclysis CT
Pancreas
Consider: Pancreatitis Cyst/tumor
Ultrasonography CT ERCP Pancreatic Function Test
Hepatobiliary
Consider: Gallstones Biliary obstruction Tumor/cyst Infiltration Chronic hepatitis Engorgement
Ultrasonography CT ERCP Liver Biopsy
Renal
Consider: Pyelonephritis Nephrolithiasis Tumor/cyst
Ultrasonography CT IV Pyelography
Colon
Consider: Inflammation Tumor Obstruction Diverticulosis
Barium Enema and/or Endoscopy
Abdominal wall source
Referred spinal nerve source
Vascular aneurysm
Ultrasonography CT Angiography
Pelvic source
Ultrasonography Laparoscopy
Nonlocalized or inapparent source
Consider: Metabolic disorders
Functional pain/dysmotility
IBS Nonulcer dyspepsia Postcholecystectomy syndrome
Chronic mesenteric ischemia Vasculitis
Angiography
Consider: Drug effect Lead toxicity
Consider: Tumor/cyst Infection Inflammatory process: Peritoneum Mesentery Omentum Retroperitoneum
Ultrasonography CT Laparoscopy Laparotomy
Nausea and Vomiting
History, PE, Laboratory evaluation
Assess for mechanical obstruction, peritonitis, dehydration, or bleeding
YES (mechanical obstruction, peritonitis, dehydration, or bleeding)
Replace fluids, Consider hospitalization
NO (mechanical obstruction, peritonitis, dehydration, or bleeding)
Regurgitation of undigested food? rumination, esophageal stricture, Zenker’s diverticulitis
Assess for pharmacologic or toxic causes
YES (pharmacologic or toxic causes)
Discontinue offending agent Treat toxicity
NO (pharmacologic or toxic causes)
Constant or recurrent, intermittent
Consider: Migraines, Seizure disorder, Cyclic vomiting, CNS lesions
Duration < 1 wk
Consider: Food poisoning, Gastroenteritis
Fluid and electrolyte replacement, observation, antiemetics
Duration > 7 days
Predominantly AM vomiting
Consider: Pregnancy, Uremia, Alcohol use, Increased intracranial pressure
Focal defects, Brainstem Posterior fossa, Abdominal migraine
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Vomiting > 1 hr after meal
Gastric emptying study
Prolonged emptying
Consider: Gastroparesis, Trial prokinetic agents, Gastric outlet obstructions
EGD
Normal emptying
Consider: Conversion reaction, Depression
Psychological evaluation
Vertigo
Consider: Labyrinthine disorder
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Vomiting immediately after meals
Consider: Gastroesophageal reflux disease, Bulimia
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Chronic orthostatic hypotension, hyponatremia
Consider: Adrenal insufficiency
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Weight loss
Consider: Malignancy, Gastroparesis, Gastric outlet obstruction
EGD
Etiology still uncertain
Consider: Electrogastrography, MRI of brain