Topic Info - BotMed Application

TopicName

Abdominal periumbilical pain

ClinicalTests

CBC with dif (anemia, dehydration);
Amylase, lipase (pancreatitis);
H.pylory breathing test (PUD);
Troponin/CK-MP (MI);
ALT/AST/bilirubin/ Alk.phos (Hepatic);

ImagingStudies

Endoscopy with biopsy (PUD, Gastrites, GERD, Barret esophagus, Esophigal spasm);
ECG (MI, Pericardites);
CT with contrast (appendix, Aortic Dissetion);
Ab and chest xRay (Pneumonia, Aortic dissection);
FOBT (Mesenteric Ischemia);

PhysicalExams

Vital signs; heart and lung exams; abdominal exam, including tenderness, guarding, rebound, psoas and obturator signs; bowel sounds, aortic bruits.

Comment

GI, Vascular, Cardio, Pneumo, GU;

History: Location, quality, intensity, duration, radiation, timing (relation to meals); associated symptoms (constitutional, GI, cardiac, pulmonary, renal, pelvic); exacerbating and alleviating factors; history of similar symptoms; history of abdominal surgeries, trauma, gallstones, renal stones, atherosclerotic vascular disease; medications (eg, NSAIDs, corticosteroids); alcohol and drug use; domestic violence, stress/anxiety, sexual history, pregnancy history.

WebLink

https://www.aafp.org/afp/2008/0401/p971.html