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DDxPro

Recommend to Check
  • Nausea
  • Vomiting
  • Crampy pain
  • Fecal urgency
  • Flatulence
  • Watery diarrhea
  • Travel
  • Abdominal cramps
  • Mucoid diarrhea
  • Mucopurulent diarrhea
  • Bloody stools
  • Diarrhea
  • Mild diarrhea
  • Last less than 14 days
  • Right upper quadrant tenderness
  • Hepatomegaly
  • Signs of volume depletion
  • Decreased skin turgor
  • Reduced skin turgor
  • Flank pain
  • Lower abdominal pain
  • Lower back pain
Possible Diagnoses
Shigellosis
Shigellosis
Abdominal cramps
Abdominal pain
Mucoid diarrhea
Mucopurulent diarrhea
Anorexia
August
July
June
October
September
Frequent small volume stools
Tenesmus
Bloody diarrhea
High fever
Diarrhea
Features of hemolytic uremic syndrome
Fever
Severe illness with dysentery
Generalized seizures
Seizures

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

Liver abscess
Amebic liver abscess
Abdominal pain
Fever
Last less than 14 days
Right upper quadrant tenderness
Hepatomegaly
Weight loss
Pleuritic pain
Jaundice
Cough
Severe pain
Right upper quadrant pain
Acute onset
Solitary lesion
days
weeks
Fevers
Last days
Last one to two weeks
One to two weeks of fever
One to two weeks of right upper quadrant pain

Gastroenteritis
Listerial gastroenteritis
Signs of volume depletion
Abdominal pain
Decreased skin turgor
Reduced skin turgor
Diarrhea
Dry mucous membranes
Watery diarrhea
Bloody diarrhea
Last less than two days
Travel
Continuous pain
Radiates to right iliac fossa
Colicky pain
Constitutional symptoms
Drinking unclean well or surface water
Drinking unpasteurized milk
Ingesting ground beef
Pain is less marked
Cramping pain
Fever
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
Muscle layer eosinophilic gastroenteritis
Small bowel obstruction
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
Abdominal pain
Diarrhea
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
three months
Subserosal eosinophilic gastroenteritis
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
Abdominal pain
Diarrhea
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
three months
Burning

Psoas abscess
Psoas abscess
Flank pain
Lower abdominal pain
Lower back pain
Psoas sign
Fever
Pain referred to the hip
Pain referred to the knee
Radiate to anterior thigh
Radiate to buttocks
Radiate to posterior thigh
Limitation of hip movement
Subacute
Absence of pain in the retrovesical pouch
Anorexia
Anterior thigh muscles weakness
Buttocks weakness
Diabetes
Hiv infection
Inguinal mass
Instrumentation in the hip region

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

Toxic megacolon
Toxic megacolon
Frequently severe bloody diarrhea
Malaise
Abdominal distention
Abdominal pain
Altered sensorium
Hypotension
Mental status changes
Volume depletion
Fever
Tachycardia
Abdominal tenderness
Acute diarrhea
Postural hypotension
Appear very ill
Chronic diarrhea
Generalized peritonitis
Localized peritonitis
Lower abdominal distension
Lower abdominal tenderness
Toxic appearing patient

Acute appendicitis
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
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 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