Topic Info - BotMed Application

TopicName

Abdominal Pain and Altered Bowel Habits

ClinicalTests

CBC with dif (blood loss); 
TSH, T3, T4 (thyroid disorders);
ESR/CRP (inflammation);
FOBT; 
Stool for ova and parasites;
Stool leukocytes and culture;
AST/ALT/Bilirubin/ Alk phos;
Electrolytes;

ImagingStudies

Endoscopy; 
Colonoscopy (after 50 y);

PhysicalExams

Vitals – fever, hypotension;
General survey – growth chart (children), hydration status – mucous membranes, tissue turgor, fontanel, peripheral perfusion, urine output;
Thyroid exam – thyroid enlargement;
Abdominal Exam – distention, bowel sounds, tenderness on palpation, palpate fecal impaction, herniation;
Rectal exam – skin excoriation, hemorrhoids, fissures, rectal prolapse, anal sphincter tone;

Comment

Acute < 2 weeks;
Chronic > 2 weeks;

Psychogenic; Endocrine; Infection; Food related; GI; Oncology; Medication; Immunity;

WebLink

https://www.aafp.org/afp/2003/0515/p2157.html