Diverticulitis differential diagnosis: Difference between revisions
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! colspan="3" |Signs | ! colspan="3" |Signs | ||
! colspan="2" |Diagnosis | ! colspan="2" |Diagnosis | ||
! rowspan="2" | | ! rowspan="2" |Other Features | ||
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!Abdominal pain | !Abdominal pain | ||
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* [[Leukocytosis]] | * [[Leukocytosis]] | ||
|CT scan | | | ||
* CT scan show evidence of [[inflammation]] | |||
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* [[Leukocytosis]] | * [[Leukocytosis]] | ||
|Ultrasound shows evidence of [[inflammation]] | | | ||
* Ultrasound shows evidence of [[inflammation]] | |||
|[[Nausea and vomiting]], [[decreased appetite]] | |[[Nausea and vomiting]], [[decreased appetite]] | ||
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* Low Vit b12 | * Low Vit b12 | ||
* [[Hypercalcemia]] | * [[Hypercalcemia]] | ||
|CT scan, X-ray and MRI | | | ||
* CT scan, X-ray and MRI show [[metastasis]] | |||
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* [[Nucleic acid amplification technique|Nucleic acid amplification tests]] is the best laboratory test for PID | * [[Nucleic acid amplification technique|Nucleic acid amplification tests]] is the best laboratory test for PID | ||
|[[Transvaginal ultrasound|Transvaginal utrasonography]] | | | ||
* [[Transvaginal ultrasound|Transvaginal utrasonography]] | |||
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* Leukocytosis | * Leukocytosis | ||
|Pelvic ultrasound | | | ||
* Pelvic ultrasound | |||
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* Vaginal discharge | * Vaginal discharge |
Revision as of 15:58, 14 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2],Seyedmahdi Pahlavani, M.D. [3], Omodamola Aje B.Sc, M.D. [4], Ahmed Elsaiey, MBBCH [5]
Overview
Diverticulitis must be differentiated from other diseases that cause lower abdominal pain and fever like appendicitis, inflammatory bowel disease, colon cancer, cystitis, and endometritis. Diverticulitis must be also differentiated from diseases causing peritonitis.
Differentiating Diverticulitis from other Diseases
Diverticulitis must be differentiated from other diseases that cause lower abdominal pain and fever. Diverticulitis must be also differentiated from diseases causing peritonitis.
Differentiating diverticulitis from diseases causing lower abdominal pain and fever
Diverticulitis must be differentiated from other diseases that cause lower abdominal pain and fever like appendicitis, inflammatory bowel disease, colon cancer, cystitis, and endometritis.[1][2][3][4][5][6]
Diseases | Symptoms | Signs | Diagnosis | Other Features | |||||
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Abdominal pain | Bowel habits | Rebound tenderness | Guarding | Genitourinary signs | Lab findings | Imaging | |||
GI diseases | Diverticulitis | LLQ | Constipation
or |
- | + | + |
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Appendicitis | LLQ / RRQ | Constipation | + | + | - |
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Nausea and vomiting, decreased appetite | ||
Inflammatory bowel disease | LLQ | Bloody diarrhea | - | - | - | Colonoscopy and tissue sampling are recommended for differentiating between Crohn's disease and ulcerative colitis. | |||
Colon carcinoma | LLQ | Constipation | - | - | - |
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Strangulated hernia | LLQ | - | - | - | - |
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Gentiourinary diseases | Cystitis | LLQ | - | + | - |
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Prostatitis | LLQ
Groin pain |
- | - | - |
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Pelvic inflammatory disease | Bilateral | - | + | - |
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Gynecological diseases | Endometritis | LLQ | - | + | - | + |
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Salpingitis | LLQ/ RLQ | +/- | +/- |
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Differentiating diverticulitis from diseases causing peritonitis
The table below summarizes the findings that differentiate inflammatory causes of chronic diarrhea[7][8][9][10][10]
References
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