Abdominal pain
Abdominal pain is a common presentation in emergency and non-emergency settings. GI tract and related organs account for most of the cases, followed by kidneys, ureters, and reproductive organs (especially in females). Characteristics of pain like site, duration, radiation and shifting, and associated symptoms like vomiting, fever, diarhea or constipation help in establishing probable diagnosis.
- Cholecystitis: Steady pain at right hypochondrium or epigastrium, radiating to right side of back or tip of shoulder. May be associated with fatty food dyspepsia. Murphy's sign may be positive.
- Pancreatitis: Constant pain, usually at epigastric region, relieved by sitting or bending forward and aggravated by lying down, movement and coughing. Usually radiates to the back. Culin and Grey-turner signs may be present. History of alcohol intake or gall stones.
- Peptic Ulcer: Dull, gnawing pain at epigastric region. In case of perforation, abdomen might be rigid and tender (peritonitis).
- Appendicitis: Migratory pain (from umbilicus to right iliac fossa) , anorexia , nausea/vomiting and raised temperature. Alvarado score is useful for clinical diagnosis. Pointing, Rowsing and Psoas signs may be positive.
- Peritonitis: Trauma, surgery, spreading inflammation from an abdominal organ or perforation of an abdominal viscera can all lead to peritonitis. Abdomen shows board like rigidity and patient prefers to lie still.
- Intestinal Obstruction: Periumbilical colicky pain, vomiting , abdominal distension and constipation are the cardinal symtoms.
- Infections: Acute gastroenteritis, Typhoid fever, Amoebiasis, Giardiasis etc.
- Other causes: Diverticulitis, Liver cyst, IBS, IBD
- Vascular: Superior mesenteric artery occlusion, ruptured aortic aneurysm, sickle cell disease.
- Referred Pain: Inferior MI, Basal Pneumonia, Testicular torsion.
- In Female: Mittelschmerz pain, Ectopic pregnancy, ovarian cyst (torsion or rupture), PID.
- Metabolic: Diabetic ketoacidosis, Porphyria, Uremia, Lead Poisoning.
I admire this article for the well-researched content and excellent wording. I got so involved in this material that I couldn’t stop reading. I am impressed with your work and skill. Thank you so much. Prestige ER
ReplyDeleteI am very thankful to you that you have shared this information with us. I got some different kind of knowledge from your web page, and it is really helpful for everyone. Thanks for share it. Read more info about Virginia Care Artificial Hymen
ReplyDeleteThis is a great article with lots of informative resources. I appreciate your work this is really helpful for everyone. Check out our website Medicinal Cannabis Prescription for more The Pines Family Practice related info!
ReplyDeleteI will share it with my other friends as the information is really very useful.Read more info about Gynaecologist North Sydney. Keep sharing your excellent work.
ReplyDeleteI will share it with my other friends as the information is really very useful.Read more info about Pain Doctor Jersey City Nj. Keep sharing your excellent work.
ReplyDeleteVery well written article. It was an awesome article to read. about Chiropractic clinic in PJ Complete rich content and fully informative. I totally Loved it.
ReplyDeleteA very delightful article that you have shared here.Abdominal Thrust Maneuver Your blog is a valuable and engaging article for us, and also I will share it with my companions who need this info. Thankful to you for sharing an article like this.
ReplyDeleteThis article contains a lot of valuable info about Physical Therapy Findlay. I am amazed by the quality of the info and also it is a beneficial article for us, Thanks for sharing it.
ReplyDeleteEncontré un ejemplo exitoso de esta verdad a través de este blog. Voy a utilizar esa información ahora. kamagra pastillas
ReplyDeleteI always check this type of advisory post and I found your article which is related to my interest.Stem Cell Therapy for Knee Pain Honduras This is a great way to increase knowledge for us. Thanks for sharing an article like this.
ReplyDeleteI read the above article and I got some unique sort of data from your article about a sleeping pad. It is a useful article to upgrade our insight for us. Appreciative to you for sharing an article like this.Sports Injury Clinic Milton
ReplyDeleteYou have worked pleasantly with your bits of knowledge. Bunches of significant information can be taken from your article. Truly it is a huge article for us.Pterygium Treatment Houston
ReplyDeleteYou are giving a particularly useful article here. You have depicted all that which is effectively reasonable to everybody. Continue to share this sort of articles, Thank you.Molecular Hydrogen Inhalation
ReplyDeleteYou have worked enjoyably with your pieces of information that simplifies our work. The information you have given is genuinely genuine and enormous for us. Keep on sharing these sorts of article, Thank you.Depression treatment Bakersfield
ReplyDeleteYou have provided a richly informative post regarding. It is helpful to me personally and moreover encouraging for those who are perplexed. Thank you for providing this information here.Mental health services in San Clarita, CA
ReplyDeleteI'm drawn in by the introduction of this article. It is a really a profitable article for us. Continue to post, Thank you.Drug treatment in San Luis Obispo, CA
ReplyDeleteYour blog took to me a totally basic spot. It is a significant and certified article to further develop data. Appreciation for sharing an article like this.Arthritis treatment
ReplyDeleteYou wrote an extremely useful article What Does Stem Cell Therapy Cure. I gleaned some useful information from this article. Many thanks for writing about it. I wish you continued success.
ReplyDeleteThank you for posting this article. I found this information very useful. The best urology hospital in Chennai gives treatment for problems related to the urinary tract and male reproductive system. The urology specialist provide the best treatment in Chennai and people believe in their services.
ReplyDelete