Supporting Hours : Monday to Saturday - 8am to 10pm
-
DDxProCo@gmail.com -
+ (98) 9128093509
DDxPro
Possible Diagnoses
Mesenteric ischemia
Mesenteric ischemia
Over age 60 years
Early frequent passage of mucosal
Nonspecific abdominal pain
Severe periumbilical pain
Bloody diarrhea
Abdominal distension
Continuous pain
Diffused
Diffused abdominal pain
Early severe abdominal pain
Moderate tenderness
No bowel sounds
Severe pain
Abdominal bruits
Peritoneal signs
Hematochezia
Severe abdominal pain
Weight loss
Diarrhea
Massive fluid protein and electrolytes start to leak
Sigmoid volvulus
Sigmoid volvulus
Abdominal pain
Tenderness
Abdominal distension
Obstipation
Constipation
Nausea
Colicky pain
Continuous pain
Severe pain
Tympanitic abdomen
Recurrent pain
Vomiting
Lead to gangrene
Peritonitis
Sepsis
Irritable bowel syndrome
Irritable bowel syndrome
Change in bowel habit
Constipation alternating with diarrhea
Change in stool appearance
Change in stool form
Abdominal pain
Chronic abdominal pain
Abdominal bloating
Abnormal stool frequency
Change in form (appearance) of stool
Change in form or consistency of stool at onset of pain
Fecal urgency
Feeling of incomplete evacuation
Looser stools at onset of pain
More frequent stools at onset of pain
Mucus discharge with stools
Occur once a week
Recurrent abdominal discomfort
Recurrent abdominal pain
Recurrent abdominal pain or discomfort
Relieved by defecation
Intestinal obstruction
Intestinal pseudo obstruction
Bowel sounds are present
Constipation
Diarrhea
Early peritoneal signs are absent
Early lack of bowel sounds
Early reduction of bowel sounds
Abdominal pain
Nausea
Vomiting
Abdomen is tympanitic
Abdominal discomfort
Altered defecation
Bloating
Chronic
Tympany
Abdominal distention
Recurrent abdominal distention
Labored breathing
Developing to perforation
Diverticulitis
Diverticulitis
Pain present for several days
Left lower quadrant abdominal pain
Left lower quadrant pain
Colicky pain
Dull colicky abdominal pain
Dull pain
Obstipation
Anorexia
Left lower quadrant tenderness
Constipation
Painless rectal bleeding
Low grade fever
Bloating
Diarrhea
Fever
Generalized tenderness
Guarding
Tender mass is palpable
Flatulence
Irregular defecation
Ulcerative colitis
Ulcerative colitis
Rectal bleeding
Chronic diarrhea
Frequent discharge of mucus
Frequent diarrhea
Gross bleeding
Diarrhea
Physical signs of proctitis
Frequent bloody diarrhea
Feeling of incomplete evacuation
Abdominal tenderness
Bloody stools
Malnutrition
Weight loss
Constipation
Abdominal pain
Fever
Bloody diarrhea
Cramping abdominal pain
Pallor
Erythema nodosum
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
None
Giardiasis
Diarrhea
Malaise
Abdominal pain
Flatulence
Foul-smelling stools
Abdominal cramps
Belching
Bloating
Nausea
Frequent belching
Weight loss
Anterior uveitis
Cystic fibrosis
Immunocompromised individuals
Ingestion of contaminated water
Ingestion of raw food
Ingestion of uncooked food
Ingestion of untreated water
Poor sanitary conditions
Travelers
Amebiasis
Intestinal entamoeba histolytica amebiasis
Bloody diarrhea
Bloody stools
Diarrhea
Mild diarrhea
Several weeks diarrhea
Watery diarrhea
Exposure in endemic area
Abdominal pain
Lower abdominal pain
Amebic dysentery
Back pain
Diarrhea with blood in stools
Environmental enteropathy
Hematophagous trophozoites
Impoverished gut
Malaise
Weight loss
Fever
Colitis
Malnutrition
Ectopic pregnancy
Ruptured ectopic pregnancy
Extrauterine gestational sac with a yolk sac
Amenorrhea more than 4 weeks
Distended abdomen
First-trimester vaginal bleeding
Sudden onset
Abdominal pain
Staining
Vaginal bleeding
Amenorrhea
Late menstrual period
Menstrual cycle abnormalities
Missed menstrual period
Amenorrhea preceded vaginal bleeding
Intermittent vaginal bleeding
Adnexal mass
Breast tenderness
Frequent urination
Nausea
Pregnancy discomforts
Right pelvic pain
Crohn disease
Crohn disease
Abdominal tenderness
Perianal skin tag
Sinus tracts
Abdominal pain
Diarrhea
Abdominal mass
Recurrence after surgery
Response to antibiotics
Prolonged diarrhea
Chronic diarrhea
Tender mass is palpable
Fever
Fatigue
Weight loss
Episodes of colonic obstruction
Episodes of small bowel obstruction
Frequently right lower quadrant pain
Crampy abdominal pain
Right lower quadrant mass
Pain relieved by defecation
Cholangitis
Primary sclerosing cholangitis
Associated with inflammatory bowel diseases
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Poor energy
Symptoms of temporal lobe seizures
Muscle weakness
Proximal muscle weakness
Increasing cholestasis
Right upper quadrant pain
Jaundice
Fatigue
Fever
Complication ulcerative colitis
Absence of parenchymal kidney disease
Absence of shock
Amnesia
Anxiety
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
Tinnitus
History Consider: Systemic illness Medication
PE, BP, Cerumen impaction, Perforated tympanic membrane, Otitis media, Localization
Nonlocalized tinnitus
Neurologic and psychiatric examination
Consider: Encephalitis of temporal lobe, Psychosis
Localized tinnitus
Auscultate external canal, carotids, skull
No sound noted on examination (Subjective tinnitus)
Consider: 90% otologic problem Metabolic disorders Depression/anxiety
Hearing Evaluation
Hearing loss
Peripheral tinnitus/cochlear: Symmetric hearing loss, Normal impedance, Normal speech discrimination
Consider: Presbycusis, Noise-induced hearing loss
Therapy: Hearing Aids, Masking, Biofeedback, Medications
Central tinnitus/retrocochlear: Asymmetric hearing loss, and/or Abnormal impedance, and/or Abnormal speech discrimination
MRI with Gadolinium
Cochlear
Retrocochlear
Mixed or conductive hearing loss
Consider: External/middle ear or nasopharyngeal pathologic condition
See Hearing Loss algorithm
Bruit or sound noted on examination
Objective tinnitus
Pulsatile
Consider: AV shunt, Arterial bruit, Venous hum, Valvular murmur
Otoscopy
Normal
Magnetic Resonance Angiography and Imaging
Retrotympanic mass
High-Resolution CT of Temporal Bones
Crackling
Worsens with external noise
Stapedial muscle spasm
Consider: Division of muscle
Clicking
EMG of palatal muscles
Tetanic contractions
Palatal myoclonus
Consider: Benzodiazepines
Blowing
Tympanic membrane fluctuates with respiration
Tympanometry
Patulous eustachian tube
ENT consult