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Recommend to Check
  • Abdominal pain
  • Abdominal distension
  • Acute
  • Chronic
  • Increase of postprandial abdominal pain
  • Heartburn
  • Feculent vomiting
  • Volume depletion
  • Hypokalemia
  • Metabolic alkalosis
  • Mild discomfort
  • Left upper quadrant pain
  • Alleviated in fetal position
  • Sudden onset
  • Pain persisting beyond 5 hours
  • Prolonged biliary pain
  • Upper abdominal pain
  • Easy satiety
  • Pain with sleeping
  • Abdominal distension
  • Appear critically ill
  • Crampy pain
  • Abdominal tenderness
  • Onset of abdominal pain
  • Right lower quadrant tenderness
Possible Diagnoses
Pancreatitis
Acute pancreatitis
Nausea
Vomiting
Mild discomfort
Left upper quadrant pain
Alleviated in fetal position
Worsens with movement
Acute upper abdominal pain
Boring pain
Periumbilical pain
Relief on bending forward
Relieved by sitting up
Epigastric pain
Pain radiate to back
Signs of hypovolemia
Anorexia
Hypotension
Abdominal distention
Blue-red-purple of flanks
Clinical signs of hypocalcemia
Gradual pain
Cholecystitis
Emphysematous cholecystitis
Sudden onset
Pain persisting beyond 5 hours
Prolonged biliary pain
Prolonged right upper quadrant pain
Epigastric pain
Acute onset of upper abdominal pain
Left hypochondrial pain
Left upper quadrant pain
Midline upper abdominal pain
Right hypochondrial pain
Abdominal pain
Steady pain
More severe than biliary colic
Severe pain
Positive murphy sign
Right upper quadrant pain
Unremitting right upper quadrant pain
Fever
Nausea
Murphy's sign
Acute cholecystitis
Sudden onset
Pain persisting beyond 5 hours
Prolonged biliary pain
Prolonged right upper quadrant pain
Epigastric pain
Acute onset of upper abdominal pain
Upper abdominal pain
Abdominal pain
Steady pain
More severe than biliary colic
Severe pain
Positive murphy sign
Right upper quadrant pain
Unremitting right upper quadrant pain
Fever
Nausea
Murphy's sign
Vomiting
Previous episode of biliary pain
Low grade fever
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
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
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
Liver abscess
Pyogenic liver abscess
Fever
Fatigue
Abdominal pain
Hepatomegaly
Jaundice
Chills
Nausea
Vomiting
Right upper quadrant tenderness
Pleuritic pain
Shortness of breath
Weight loss
Cough
Severe pain
Right upper quadrant guarding
Right upper quadrant pain
Right upper quadrant rocking tenderness
Punch tenderness
Rebound tenderness
Last 5 to 26 days
Klebsiella pneumoniae liver abscess
Fever
Right upper quadrant tenderness
Fatigue
Lack of stamina
Lethargy
Poor energy
Weakness
Chills
Abdominal pain
Nausea
Vomiting
Severe pain
Thrombophlebitis
Punch tenderness
Rebound tenderness
Hepatomegaly
Jaundice
Solitary lesion
Localized to right upper quadrant
5 to 26 days
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
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
Choledocholithiasis
Choledocholithiasis
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
Acute onset of upper abdominal pain
three months
More severe than biliary colic
Burning
Symptom onset at least six months
Murphy's sign
Right upper quadrant pain
Diaphoresis
Prolonged pain
Intermittent pain
Pain more than an hour
choledocholithiasis
Epigastric pain
Gilbert syndrome
Nausea
Vomiting
Episodic pain
Acute fatty liver of pregnancy
Acute fatty liver of pregnancy
Nausea
Vomiting
In third trimester
Multiple gestations
Jaundice
Abdominal pain
Anorexia
Confusion
Edema
Epigastric pain
Hepatic encephalopathy
Hypertention
Lactic acidosis
Malaise
Signs of preeclampsia
Before delivery
Polydipsia
Dic
Infection
Long ptt
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