Case Info - BotMed Application

CaseName

DDx Case 3. Abdominal pain, periumbilical, new onset.

CaseDescription

Previously healthy 63-year-old man with severe abdominal pain for 48 hours. The pain Is periumbilical with severe crampy exacerbations that last for several minutes and then subside. He note loud intestinal noises (borborygmi) during the periods of increased pain. The pain is associated with nausea and vomiting. He denies diarrhea.
He reports decreased appetite with no oral Intake In the last 48 hours. He denies having this pain previously.

PhysicalExams

Vital signs. Abdominal exam. 
Murphy sign. Rebound tenderness.

Labs

CBC with dif;
Elastase/lipase;
Calprotectin stool test;
ALT/AST/bilirubin;

ImagingStudies

AB x-ray; 
CT with contrast;
CT angiography;

Comment