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| __NOTOC__ | | __NOTOC__ |
| <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]]
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| </span>
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| <br>
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| {| align="center"
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| {| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
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| ! colspan="3" rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Classification of acute abdomen based on etiology
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| ! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Disease
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| ! colspan="9" align="center" style="background:#4479BA; color: #FFFFFF;" |Clinical manifestations
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| ! colspan="2" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Diagnosis
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| ! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Comments
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| |-
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| ! colspan="5" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" | Symptoms
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| ! colspan="4" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" | Signs
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| |-
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| ! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" | Fever
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Rigors and chills
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Abdominal Pain
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Jaundice
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |GI Bleed
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Hypo-
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| tension
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| ! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" | Guarding
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Rebound Tenderness
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Bowel sounds
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| ! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" | Lab Findings
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" |Imaging
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| |-
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| ! rowspan="7" |Abdominal causes
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| ! rowspan="7" |Inflammatory causes
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| ! rowspan="3" |Pancreato-biliary disorders
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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" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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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" | ±
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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" |Increased [[amylase]] / [[lipase]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound shows evidence of [[inflammation]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Pain radiation to back
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| | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Primary biliary cirrhosis]]
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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" |[[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" | −
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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" |Increased AMA level, abnormal [[LFTs]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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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" | ±
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | −
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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" | −
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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 to hyperactive for dislodged stone
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Leukocytosis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound shows [[gallstone]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Murphy's sign|Murphy’s sign]]
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| |-
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| ! rowspan="3" |Gastric causes
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| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Gastritis|Gastritis]]
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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" |[[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" |
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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" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Gastroesophageal reflux disease|Gastroesophageal reflux disease]]
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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" |[[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" | −
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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" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| |-
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| | style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Gastric outlet obstruction|Gastric outlet obstruction]]
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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" |[[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" | −
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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" |Hyperactive
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| |-
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| ! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Intestinal causes
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| | 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" | +
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +in pyogenic appendicitis
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Starts in [[epigastrium]], migrates to RLQ
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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" | + in perforated appendicitis
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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" |[[Leukocytosis]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound shows evidence of [[inflammation]]
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Nausea and vomiting|Nausea & vomiting]], [[decreased appetite]]
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| |-
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| ! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Extra-abdominal causes
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| ! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Pulmonary disorders
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| | colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Pleural empyema]]
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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" |[[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" | −
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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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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| ! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Cardiovascular disorders
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| | colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Myocardial Infarction]]
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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" |[[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" | −
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| | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + in cardiogenic shock
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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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| ! style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| ! style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| |-
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| |}
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| |}
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| {|
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| | <figure-inline class="mw-default-size"><figure-inline>[[Image:Right_upper_quadrant.PNG|link=Right upper quadrant abdominal pain resident survival guide|339x339px]]</figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline>[[Image:Epigastric_quadrant_pain.PNG|link=Epigastric pain resident survival guide|179x179px]]</figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline>[[Image:Left_upper_quadrant.PNG|link=Left upper quadrant abdominal pain resident survival guide|329x329px]]</figure-inline></figure-inline>
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| | <figure-inline class="mw-default-size"><figure-inline>[[Image:Right_flank_quadrant.PNG|link=Right flank pain resident survival guide|338x338px]]</figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline>[[Image:Umbilical_pain.PNG|link=Umbilical region pain resident survival guide|165x165px]]</figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline>[[Image:Left_flank_quadrant.PNG|link=Left flank quadrant abdominal pain resident survival guide|335x335px]]</figure-inline></figure-inline>
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| | <figure-inline class="mw-default-size"><figure-inline>[[Image:Right_lower_quadrant.PNG|link=Right lower quadrant abdominal pain resident survival guide|338x338px]]</figure-inline></figure-inline>||<figure-inline class="mw-default-size"><figure-inline>[[Image:Hypogastric.PNG|link=Hypogastric pain resident survival guide|199x199px]]</figure-inline></figure-inline>||<figure-inline class="mw-default-size">[[Image:Left_lower_quadrant.PNG|link=L
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| |}
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| {{CMG}}; {{AE}} {{MKK}}
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