Abdominal Pain Flashcards
Nephrolithiasis (colicky, radiates to testicles: ddx can include appendicitis if on R, pyelonephritis) tests
- UA w/ urine cytology
- BUN/Cr (BMP)
- Renal US
- Abdominal CT (spiral)
- KUB
Pancreatic cancer (dull epigastric pain radiating to back with wt loss, dark urine, clay-colored stools: ddx can include PBC/PSC and chronic pancreatitis) tests
- CT abdomen
- Amylase, lipase
- LFTs
Acute pancreatitis (improves with learning forward) tests
- Amylase, lipase
- LFTs
- CT abdomen
Ascending cholangitis (Charcot triad: jaundice, fever, RUQ pain, ddx includes viral hepatitis) tests
- CBC w/ diff
- LFTs
- Blood culture and gram stain
- US abdomen
- ERCP/MRCP
Acute hepatitis (RUQ pain, fever anorexia, N/V, dark urine and clay stools: ddx includes acute cholecystitis) tests
- CBC
- LFTs
- Viral hepatitis serologies
Peptic ulcer disease tests
- Rectal exam, stool for occult blood
- H pylori stool testing
- CBC
- Upper endoscopy
Splenic rupture (LUQ pain, hx of mono, radiation to L scapula) tests
- CBC
- US abdomen (FAST)
- CT abdomen
Intestinal obstruction (hx of abd surgery, no passage of gas/stool, crampy pain, vomiting, distention: ddx includes colon cancer, gastroenteritis, ileus) tests
- rectal exam
- abdominal XR
- BMP
- CT abdomen/pelvis with contrast
Mesenteric ischemia/infarction tests
- Rectal exam with fecal occult blood
- CBC
- CT abdomen
- Mesenteric angiography
- Lactate
Ovarian torsion/ectopic pregnancy tests
- Pelvic exam
2. Doppler US – pelvic/transvaginal
Ectopic pregnancy tests
- pelvic exam
- urine hCG
- pelvic/transvaginal US
Acute appendicitis (RLQ pain) tests
- CBC
- CT abdomen
- BCx and gram stain
- US abdomen
Irritable bowel syndrome tests
None
Pelvic inflammatory disease (bilat lower abdominal pain starts with first day of period, discharge: ddx includes endometriosis)
- Pelvic exam
- Cervical cultures
- gonorrhea/chlamydia testing
- CBC
- Pelvic US
