Sandbox:DD diverticulitis: Difference between revisions

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DD
{| class="wikitable"
! colspan="2" rowspan="2" |Diseases
! colspan="2" |Symptoms
! colspan="3" |Signs
! colspan="2" |Diagnosis
! rowspan="2" |Comments
|-
!Abdominal pain
!Bowel habits
!Rebound tenderness
!Guarding
!Genitourinary signs
!Lab findings
!Imaging
|-
| rowspan="5" |GI diseases
|Diverticulitis
|LLQ
|Constipation
Diarrhea
| -
| +
|<nowiki>+ </nowiki>
|Leukocytosis
|CT scan shows evidence of inflammation
|
|-
|Appendicitis
|LLQ / RRQ
|Constipation
| +
| +
| -
|Leukocytosis
|Ultrasound shows evidence of [[inflammation]]
|[[Nausea and vomiting|Nausea & vomiting]],[[decreased appetite]]
|-
|Inflammatory bowel diseases
|LLQ
|Bloody diarrhea
|<nowiki>-</nowiki>
| -
| -
|Elevated WBCs and platelets
|CT scan and MRI to differentiate between ulcerative colitis and crohn's disease.
|Colonoscopy is recommended.
|-
|Colon carcinoma
|LLQ
|Constipation
 
| -
| -
| -
|
* Serum [[carcino-embryogenic antigen]] 
* Low Vit b12
* Hypercalcemia
|CT scan, x ray and MRI used to show metastasis
|
|-
|Strangulated hernia
|LLQ
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|No specific tests
|
* CT scan used to detect the hernia and to show if it is single or multiple
|
|-
| rowspan="3" |Gentiourinary
|Cystitis
|LLQ
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
* Suprapubic tenderness
* Urethral discharge
|
* Pyuria
* Presence of nitrites and leukocyte estrase
|
* X ray is done to probe the suspicion of emphysematous cystitis.
* CT scan shows gas in the bladder in cases of emphysematous cystitis.
|
|-
|Prostatitis
|LLQ
 
Groin pain
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
* Tender and enlarged
|
* Serum PSA elevated
* Leukocytosis
* Elevated CRP
|
* CT scan shows edema and enlarged prostate
* Abscess may be observed
|
|-
|Pelvic inflammatory disease
|LLQ - Bilateral
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
| -
|<nowiki>+</nowiki>
* Purulent vaginal discharge
|No specific tests for PID
|Transvaginal utrasonography
|
|-
| rowspan="2" |Gynecological
|Endometritis
|LLQ
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
|No specific tests
|CT scan to exclude masses or thrombosis
|Vaginal discharge
Vaginal bleeding
|-
|Salpingitis
|LLQ/ RLQ
|
| +/-
| +/-
|
|Leukocytosis
|Pelvic ultrasound
|Vaginal discharge
|}

Latest revision as of 18:43, 15 June 2017

Diseases Symptoms Signs Diagnosis Comments
Abdominal pain Bowel habits Rebound tenderness Guarding Genitourinary signs Lab findings Imaging
GI diseases Diverticulitis LLQ Constipation

Diarrhea

- + + Leukocytosis CT scan shows evidence of inflammation
Appendicitis LLQ / RRQ Constipation + + - Leukocytosis Ultrasound shows evidence of inflammation Nausea & vomiting,decreased appetite
Inflammatory bowel diseases LLQ Bloody diarrhea - - - Elevated WBCs and platelets CT scan and MRI to differentiate between ulcerative colitis and crohn's disease. Colonoscopy is recommended.
Colon carcinoma LLQ Constipation - - - CT scan, x ray and MRI used to show metastasis
Strangulated hernia LLQ - - - - No specific tests
  • CT scan used to detect the hernia and to show if it is single or multiple
Gentiourinary Cystitis LLQ - + - +
  • Suprapubic tenderness
  • Urethral discharge
  • Pyuria
  • Presence of nitrites and leukocyte estrase
  • X ray is done to probe the suspicion of emphysematous cystitis.
  • CT scan shows gas in the bladder in cases of emphysematous cystitis.
Prostatitis LLQ

Groin pain

- - - +
  • Tender and enlarged
  • Serum PSA elevated
  • Leukocytosis
  • Elevated CRP
  • CT scan shows edema and enlarged prostate
  • Abscess may be observed
Pelvic inflammatory disease LLQ - Bilateral - + - +
  • Purulent vaginal discharge
No specific tests for PID Transvaginal utrasonography
Gynecological Endometritis LLQ - + - + No specific tests CT scan to exclude masses or thrombosis Vaginal discharge

Vaginal bleeding

Salpingitis LLQ/ RLQ +/- +/- Leukocytosis Pelvic ultrasound Vaginal discharge