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| | __NOTOC__ |
| | {{Abdominal pain}} |
| | {{CMG}}; {{AE}}{{IQ}}{{ADS}} |
| | |
| <span style="font-size:85%">'''Abbreviations:''' | | <span style="font-size:85%">'''Abbreviations:''' |
| '''[[RUQ]]'''= Right upper quadrant of the abdomen, '''LUQ'''= Left upper quadrant, '''LLQ'''= Left lower quadrant, '''RLQ'''= Right lower quadrant, '''LFT'''= Liver function test, SIRS= [[Systemic inflammatory response syndrome]], '''[[ERCP]]'''= [[Endoscopic retrograde cholangiopancreatography]], '''IV'''= Intravenous, '''N'''= Normal, '''AMA'''= Anti mitochondrial antibodies, '''[[LDH]]'''= [[Lactate dehydrogenase]], '''GI'''= Gastrointestinal, '''CXR'''= Chest X ray, '''IgA'''= [[Immunoglobulin A]], '''IgG'''= [[Immunoglobulin G]], '''IgM'''= [[Immunoglobulin M]], '''CT'''= [[Computed tomography]], '''[[PMN]]'''= Polymorphonuclear cells, '''[[ESR]]'''= [[Erythrocyte sedimentation rate]], '''[[CRP]]'''= [[C-reactive protein]], TS= [[Transferrin saturation]], SF= Serum [[Ferritin]], SMA= [[Superior mesenteric artery]], SMV= [[Superior mesenteric vein]], ECG= [[Electrocardiogram]]</span> | | '''[[RUQ]]'''= Right upper quadrant of the abdomen, '''LUQ'''= Left upper quadrant, '''LLQ'''= Left lower quadrant, '''RLQ'''= Right lower quadrant, '''LFT'''= Liver function test, SIRS= [[Systemic inflammatory response syndrome]], '''[[ERCP]]'''= [[Endoscopic retrograde cholangiopancreatography]], '''IV'''= Intravenous, '''N'''= Normal, '''AMA'''= Anti mitochondrial antibodies, '''[[LDH]]'''= [[Lactate dehydrogenase]], '''GI'''= Gastrointestinal, '''CXR'''= Chest X ray, '''IgA'''= [[Immunoglobulin A]], '''IgG'''= [[Immunoglobulin G]], '''IgM'''= [[Immunoglobulin M]], '''CT'''= [[Computed tomography]], '''[[PMN]]'''= Polymorphonuclear cells, '''[[ESR]]'''= [[Erythrocyte sedimentation rate]], '''[[CRP]]'''= [[C-reactive protein]], TS= [[Transferrin saturation]], SF= Serum [[Ferritin]], SMA= [[Superior mesenteric artery]], SMV= [[Superior mesenteric vein]], ECG= [[Electrocardiogram]]</span> |
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| {| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | | {| style="border: 0px; font-size: 90%; margin: 3px;" align="center" |
| ! colspan="3" rowspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Classification of pain in the abdomen based on etiology
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| ! rowspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Disease | | ! rowspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" |Disease |
| | colspan="13" rowspan="1" style="background:#4479BA; color: #FFFFFF;" align="center" |'''Clinical manifestations''' | | | colspan="13" rowspan="1" style="background:#4479BA; color: #FFFFFF;" align="center" |'''Clinical manifestations''' |
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging | | ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging |
| |- | | |- |
| ! rowspan="37" style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal causes
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| ! rowspan="28" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Inflammatory causes
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| ! rowspan="7" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Pancreato-biliary disorders
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Acute suppurative cholangitis
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| *Abnormal [[LFT]]
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| *WBC >10,000
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Ultrasound shows [[biliary]] dilatation/stents/tumor
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Septic shock occurs with features of [[SIRS]]
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| |-
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Cholangitis|Acute cholangitis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | [[RUQ]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Abnormal [[LFT]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Ultrasound shows [[biliary]] dilatation/stents/tumor
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Biliary drainage ([[Endoscopic retrograde cholangiopancreatography|ERCP]]) + IV antibiotics
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| |-
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Acute cholecystitis|Acute cholecystitis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | [[RUQ]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hypoactive
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * [[Hyperbilirubinemia]]
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| * [[Leukocytosis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound shows:
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| * Gallstone
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| * Inflammation
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * [[Murphy's sign|Murphy’s sign]]
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| |-
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Acute pancreatitis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | [[Epigastric]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Increased [[amylase]] / [[lipase]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Ultrasound shows evidence of [[inflammation]]
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| * CT scan shows severity of pancreatitis
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Pain radiation to back
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| |-
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
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| tension
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
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| |-
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Primary sclerosing cholangitis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Increased liver enzymes
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| * Increased [[IgM]], [[IgG]]4
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| * [[Anti-neutrophil cytoplasmic antibody]] ([[p-ANCA]])
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| * [[Anti-nuclear antibody]] ([[ANA]])
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| * [[Anti-smooth muscle antibody]] (Anti-Sm)
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| * Anti-endothelial antibody
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| * Anti-cardiolipin antibody
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |ERCP and MRCP shows
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| * Multiple segmental [[strictures]]
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| * Mural irregularities
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| * [[Biliary]] dilatation and diverticula
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| * Distortion of biliary tree
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * The risk of [[cholangiocarcinoma]] in patients with primary sclerosing cholangitis is 400 times higher than the risk in the general population.
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| |-
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Cholelithiasis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]/[[Epigastric]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Normal to hyperactive for dislodged stone
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * [[Leukocytosis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Ultrasound shows [[gallstone]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Fatty food intolerance
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| |-
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| ! colspan="1" rowspan="4" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Gastric causes
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Peptic Ulcer Disease|Peptic ulcer disease]] | | | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Peptic Ulcer Disease|Peptic ulcer disease]] |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | |
| * Upper GI [[endoscopy]] for diagnosis | | * Upper GI [[endoscopy]] for diagnosis |
| |-
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
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| tension
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
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| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Gastritis|Gastritis]] | | | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Gastritis|Gastritis]] |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | |
| * [[H.pylori gastritis guideline recommendation]] | | * [[H.pylori gastritis guideline recommendation]] |
| |-
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Gastrointestinal perforation]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>-</nowiki>
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hyperactive/hypoactive
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * WBC> 10,000
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * Air under [[diaphragm]] in upright [[CXR]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| * [[Hamman's sign]]
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| |-
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| ! rowspan="10" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Intestinal causes
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
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| tension
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
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| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
| |
| |-
| |
| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Acute appendicitis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Starts in [[epigastrium]], migrates to RLQ
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in pyogenic appendicitis
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in perforated appendicitis
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hypoactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Leukocytosis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Ct scan
| |
| * Ultrasound
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Positive Rovsing sign
| |
| * Positive Obturator sign
| |
| * Positive Iliopsoas sign
| |
| |-
| |
| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Diverticulitis|Acute diverticulitis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |LLQ
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |−
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in perforated diverticulitis
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hypoactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Leukocytosis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * CT scan
| |
| * Ultrasound
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * History of [[constipation]]
| |
| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Inflammatory bowel disease]] | | | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Inflammatory bowel disease]] |
Line 422: |
Line 157: |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging | | ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments | | ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments |
| |-
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Toxic megacolon]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hypoactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Anemia]]
| |
| *[[Leukocytosis]] especially in patients with [[Clostridium difficile infection|''Clostridium difficile'' infection]]
| |
| *[[Hypoalbuminemia]]
| |
| *[[Metabolic alkalosis]] associated with a poor [[prognosis]]
| |
| *[[Metabolic acidosis]] secondary to [[ischemic colitis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |CT and [[Ultrasound]] shows:
| |
| *Loss of colonic haustration
| |
| *Hypoechoic and thickened bowel walls with irregular internal margins in the [[sigmoid]] and descending colon
| |
| *Prominent dilation of the transverse colon (>6 cm)
| |
|
| |
| * Insignificant dilation of ileal bowel loops (diameter >18 mm) with increased intraluminal gas and fluid
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Tropical sprue]] | | | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Tropical sprue]] |
Line 474: |
Line 181: |
| * [[Steatorrhea]]- 10-40 g/day (Normal=5 g/day) | | * [[Steatorrhea]]- 10-40 g/day (Normal=5 g/day) |
| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Infective colitis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in fulminant colitis
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hyperactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Stool culture]] and studies
| |
| * Shiga toxin in bloody diarrhea
| |
| * [[PCR]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |CT scan
| |
| * Bowel wall thickening
| |
| * Edema
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| |-
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
| |
| tension
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
| |
| |-
| |
| ! rowspan="6" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Hepatic causes
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Hepatitis|Viral hepatitis]] | | | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Hepatitis|Viral hepatitis]] |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]] | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]] |
Line 594: |
Line 258: |
| * [[Asterixis]] | | * [[Asterixis]] |
| |- | | |- |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
| |
| tension
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
| |
| |-
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Budd-Chiari syndrome|Budd-Chiari syndrome]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in liver failure leading to varices
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| *Elevated [[Aspartate aminotransferase|serum aspartate aminotransferase]] and [[alanine aminotransferase]] levels may be more than five times the upper limit of the normal range.
| |
| *Elevated serum [[alkaline phosphatase]] and [[Bilirubin|bilirubin levels]], decreased [[Albumin|serum albumin level]].
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| {| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
| |
| |-
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Findings on [[CT scan]] suggestive of Budd-Chiari syndrome include:
| |
| *Early enhancement of the [[caudate lobe]] and [[central liver]] around the [[Inferior vena cavae|inferior vena cava]]
| |
| *Delayed enhancement of the peripheral [[liver]] with accompanying central low density (flip-flop appearance)
| |
| *Peripheral zones of the [[liver]] show reversed [[portal]] [[venous]] [[blood flow]]
| |
| *In the [[chronic]] phase, there is [[caudate lobe]] enlargement and [[atrophy]] of the [[Liver|peripheral liver]] in affected areas
| |
| |}
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Ascitic tap|Ascitic fluid examination]] shows:
| |
| *[[Total protein]] more than 2.5 g per deciliter
| |
| *[[White blood cells]] are usually less than 500/μL.
| |
| |-
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
| |
| tension
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
| |
| |-
| |
| ! rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Peritoneal causes
| |
| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Spontaneous bacterial peritonitis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in cirrhotic patients
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hypoactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Ascitic fluid [[PMN]]>250 cells/mm<small>³</small>
| |
| * Culture: Positive for single organism
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Ultrasound for evaluation of liver cirrhosis
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| |-
| |
| ! colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Renal causes
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |Pyelonephritis
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Unilateral
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Hypoactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Urinalysis
| |
| * Urine culture
| |
| * Blood culture
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * CT
| |
| * MRI
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| *CVA tenderness
| |
| |-
| |
| ! colspan="2" rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Hollow Viscous Obstruction
| |
| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Small bowel obstruction | | | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Small bowel obstruction |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Diffuse |
Line 752: |
Line 300: |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments | | ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments |
| |- | | |- |
| ! rowspan="5" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Vascular Disorders
| |
| ! rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Ischemic causes
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Mesenteric ischemia]] | | | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Mesenteric ischemia]] |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Periumbilical | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Periumbilical |
Line 801: |
Line 347: |
| * May lead to shock | | * May lead to shock |
| |- | | |- |
| ! rowspan="3" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Hemorrhagic causes
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Ruptured abdominal aortic aneurysm]] | | | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Ruptured abdominal aortic aneurysm]] |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Diffuse | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Diffuse |
Line 824: |
Line 369: |
| * Unstable hemodynamics | | * Unstable hemodynamics |
| |- | | |- |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |Intra-abdominal or [[retroperitoneal hemorrhage]]
| | |[[Pleural empyema]] |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Diffuse
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * ↓ Hb
| |
| * ↓ Hct
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * CT scan
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * History of [[trauma]]
| |
| |-
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Disease
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Abdominal Pain
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Fever
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rigors and chills
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Nausea or vomiting
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Jaundice
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Constipation
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Diarrhea
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Weight loss
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |GI bleeding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Hypo-
| |
| tension
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Guarding
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Rebound Tenderness
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Bowel sounds
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Lab Findings
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Imaging
| |
| ! style="background:#4479BA; color: #FFFFFF;" align="center" |Comments
| |
| |-
| |
| !Gynaecological Causes
| |
| !Tubal causes
| |
| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Salpingitis|Acute salpingitis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |RLQ / LLQ
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Leukocytosis]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Pelvic ultrasound]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Vaginal discharge]]
| |
| |-
| |
| ! rowspan="4" style="background:#4479BA; color: #FFFFFF;" align="center" |Extra-abdominal causes
| |
| ! rowspan="3" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Pulmonary disorders
| |
| | colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Pleural empyema]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]/[[Epigastric]] | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[RUQ]]/[[Epigastric]] |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + |
Line 914: |
Line 393: |
| * [[Egophony]] | | * [[Egophony]] |
| * Increased [[tactile fremitus]] | | * Increased [[tactile fremitus]] |
| |-
| |
| | colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Pulmonary embolism]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |RUQ/LUQ
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * ABGs
| |
| * D-dimer
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * CXR
| |
| * V/Q scan
| |
| * Spiral [[CT pulmonary angiogram]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Dyspnea
| |
| * Tachycardia
| |
| * Pleuretic chest pain
| |
| |-
| |
| ! colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Pneumonia]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |RUQ/LUQ
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Normal or hypoactive
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * ABGs
| |
| * Leukocytosis
| |
| * Pancytopenia
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| *CXR
| |
| *CT chest
| |
| *Bronchoscopy
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Shortness of breath
| |
| * Cough
| |
| |-
| |
| ! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Cardiovascular disorders
| |
| | colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Myocardial Infarction]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Epigastric]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | ±
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |<nowiki>+</nowiki>
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | Positive in cardiogenic shock
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |N
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * [[Cardiac enzymes]]
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[ECG]]
| |
| [[Echocardiogram]]
| |
| * Wall motion abnormality
| |
| * Wall rupture
| |
| * Septal rupture
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| * Chest pain, tightness, diaphoresis
| |
| Complications:
| |
| * [[Arrythmias]]
| |
| * [[Mitral regurgitation]]
| |
| * Ventricular wall rupture
| |
| * Septal rupture
| |
| |- | | |- |
| |} | | |} |
| |} | | |} |