2. The term ‘ acute abdomen’ designates symptoms and signs of intra-abdominal disease usually treated best by surgical operation.
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13. Pattern of referred pain Gastric pain Liver and biliary pain Colonic pain Ureteral or kidney pain Diaphragmatic irritation Biliary colic Pancreatic and renal pain , Uterine and rectal pain
30. Differential Diagnosis: RUQ Pain Fever, tachypnea, bronchial breathing Right lower lobe pneumonia Shift of pain, tenderness Retrocecal appendicitis Edema, dyspnea, elevated JVP Congestive heart failure Dysuria, fever, costovertebral angle tenderness Right pyelonephritis Alcohol history, jaundice, medications Acute hepatitis Recurrent attacks, tender over gall bladder area Biliary colic, acute cholecystitis clues Condition
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32. Differential Diagnosis: LUQ and Epigastric Pain Fever, XR findings, bronchial breathing Pneumonia Recurrent, relationship to meals, relationship to posture Gastritis / Peptic ulcer disease History of alcohol consumption, history of similar event, elevated labs Pancreatitis History of trauma, gross deformity, extreme tenderness on palpation Fractured ribs History of trauma or splenic disease Splenic rupture clues Condition
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34. Differential Diagnosis: RLQ Pain … see next Gynecologic causes Recurrent, several days history Crohn’s disease Tender swollen testis, usually young age Torsed right testis Colicky pain, hematuria Right renal colic Fever, inconstant signs Mesenteric adenitis Shift of pain, anorexia, localized tenderness Acute appendicitis clues Condition