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Topic Info
TopicName
Abdominal pain diffuse
ClinicalTests
Blood gas analysis (test metabolic alkalosis); Lactate (tissue hypoxia: acute pancreatitis); Troponin (MI); Serum glucose (hypoglycemia); CBC (appendicitis, dehydration, anemia); Coagulation studies (e.g., INR, PT for surgery); Electrolytes LFTs (liver check) Lipase, amylase (acute pancreatitis, lipase also PUD, intestinal abstraction) Blood type and screen ESR/CRP (IBD, peritonitis) Urinalysis (UTI) β-hCG urine test (pregnancy or ectopic pregnancy) Cultures (UTI, sepsis)
ImagingStudies
ECG (r/o Acute coronary syndrome) CT abdomen with IV contrast (bowel perforation, small bowel obstruction, acute pancreatitis, acute pyelonephritis)
PhysicalExams
Vital signs; heart and lung exams; abdominal exam, including tenderness, guarding, rebound, psoas and obturator signs; bowel sounds, aortic bruits; rectal exam; pelvic exam (women).
Comment
Endocrine; GI; Toxines; Vascular; GU;
WebLink
https://www.aafp.org/afp/2008/0401/p971.html
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