Sandbox:DD diverticulitis: Difference between revisions
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!Imaging | !Imaging | ||
|- | |- | ||
| rowspan=" | | rowspan="5" |GI diseases | ||
|Diverticulitis | |Diverticulitis | ||
|LLQ | |LLQ | ||
Line 21: | Line 21: | ||
| - | | - | ||
| + | | + | ||
| | |<nowiki>+ </nowiki> | ||
|Leukocytosis | |Leukocytosis | ||
|CT scan shows evidence of inflammation | |CT scan shows evidence of inflammation | ||
Line 31: | Line 31: | ||
| + | | + | ||
| + | | + | ||
| | | - | ||
|Leukocytosis | |Leukocytosis | ||
|Ultrasound shows evidence of [[inflammation]] | |Ultrasound shows evidence of [[inflammation]] | ||
Line 37: | Line 37: | ||
|- | |- | ||
|Inflammatory bowel diseases | |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 | |Colon carcinoma | ||
|LLQ | |||
|Constipation | |||
| - | |||
| - | |||
| - | |||
| | | | ||
* Serum [[carcino-embryogenic antigen]] | |||
* Low Vit b12 | |||
* Hypercalcemia | |||
|CT scan, x ray and MRI used to show metastasis | |||
| | |||
| | | | ||
|- | |- | ||
|Strangulated hernia | |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 | | rowspan="3" |Gentiourinary | ||
|Cystitis | |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 | |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 | |Pelvic inflammatory disease | ||
| | |LLQ - Bilateral | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | - | ||
| | |<nowiki>+</nowiki> | ||
| | * Purulent vaginal discharge | ||
| | |No specific tests for PID | ||
|Transvaginal utrasonography | |||
| | | | ||
|- | |- | ||
Line 110: | Line 120: | ||
|Endometritis | |Endometritis | ||
|LLQ | |LLQ | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |No specific tests | ||
| | |CT scan to exclude masses or thrombosis | ||
|Vaginal discharge | |Vaginal discharge | ||
Vaginal bleeding | Vaginal bleeding |
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 |
|
||
Gentiourinary | Cystitis | LLQ | - | + | - | +
|
|
|
|
Prostatitis | LLQ
Groin pain |
- | - | - | +
|
|
|
||
Pelvic inflammatory disease | LLQ - Bilateral | - | + | - | +
|
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 |