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?
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
Differentials 1 chr appendicitis or lump 2 ureteric calculus 3 koch's abdomen
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..
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
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
Renal colic Acute Pancreatitis Acute cholecystitis Peptic ulcer Investigate all systems given in d/d
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A male pt aged 44 years p/w complaints of Pain Abdomen and Vomitings (Multiple) since 2 days... He also had 1 episode of Fever and severe constipation... comment on his Xray and discuss the causes of his symptoms
Dr. Hardik Ahuja0 Like5 Answers - Login to View the image
A male patient of age 54 came with the chief complaints of abdominal pain which is sudden in onset and is of acute type. Distended abdomen. The person is known alcoholic and smoker. No history of fever, vomitings or abdominal tenderness. No flatus being passed. What is the probable diagnosis?
Sheik Ameerun4 Likes20 Answers - Login to View the image
severe abdomen pain umbelical area TLC 14400 PLZ SUJJEST
Dr. Suhel Khan2 Likes5 Answers - Login to View the image
45 year old lady presents in ER with history of severe epigastric pain. Her amylase and lipase were wnl. She was advised PPi was advised to follow up in opd. Now her LFT are deranged. What differential should we consider?
Dr. Prashant Vedwan4 Likes5 Answers - Login to View the image
C/o A 56-year-old woman complaining of abdominal pain. Twenty-four hours previously she developed a continuous pain in the upper abdomen which has become progressively more severe. The pain radiates into the back. She feels nauseated and alternately hot and cold. H/o duodenal ulcer which was successfully treated with Helicobacter eradication therapy 5 years earlier. on Examination... The patient looks unwell and dehydrated. She weighs 115 kg. She is febrile, 38.5°C, pulse is 108/min and blood pressure 124/76 mmHg. She is tender in the right upper quadrant and epigastrium, with guarding and rebound tenderness. Bowel sounds are sparse. What is the most likely diagnosis?
Nitin Goje0 Like4 Answers
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