Concluded Case

Suggest Differentials & Management

A 19 Yr old Male daily wage worker presented with... Chief Complaints Abdominal pain( Rt iliac) since 2 weeks. Lower back pain since 1 month. Vitals Wnl Investigations Recommended investigations? Diagnosis Open for discussion. D/D?

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Concluded answer

Abdominal pain and low back pain . But a little more information should be provided like pain in which region of 9 quadrants of abdomen , radiation of pain , associated symptoms like nausea, vomitings , constipation, urinary symptoms Investigations required are Ultrasonography abdomen MRI lumbo sacral spine to rule out PIVD D/D PIVD Renal calculi APD Cholecystitis Pancreatitis

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Differentials 1 chr appendicitis or lump 2 ureteric calculus 3 koch's abdomen

Thanx dr Pushkar ji Bhomia
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Appendicitis Ureteric stone Renal calculi

USG abdomen to rule out renal calculi Now treat as APD Srp Mucaine tds T.Baclofen 10mg bd

Usg whole abd

Gastritis Pancreatitis Renal calculus Abscess. Adv USG abd pelvis sos CT abdomen.

D/D.. ENTERITIS.. COLITIS .. MALIGNANCY.. RENAL COLIC .. PANCREATITIS.. ABDOMINAL KOCH'S.. ABDOMINAL LYMPHADENOPATHY.. APPENDICITIS.. PID .. PVID .. INVESTIGATIONS .. KUB .. USG..ABDOMEN.. CTCE.. MRI STUDY.. GI ENDOSCOPY.. COLONOSCOPY..

Tnx Dr Shivraj Agarwal sir
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Abdominal pain and low back pain . But a little more information should be provided like pain in which region of 9 quadrants of abdomen , radiation of pain , associated symptoms like nausea, vomitings , constipation, urinary symptoms Investigations required are Ultrasonography abdomen MRI lumbo sacral spine to rule out PIVD D/D PIVD Renal calculi APD Cholecystitis Pancreatitis

R. Iliac pain.
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Abdominal pain in which region? Lower back pain may be d/t spasm of muscle of back Do USG WA X ray D L spine

Thank you doctor
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Renal colic Acute Pancreatitis Acute cholecystitis Peptic ulcer Investigate all systems given in d/d

Thank you doctor
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