Abdominal Pain

Differential Diagnosis

Diffuse abdominal pain:

  • Gasteroentritis
  • Intestinal obstruction
  • Peritonitis
  • IBD
  • Lead poisoning
  • Uremia
  • Drug overdose
  • DKA
  • Sickle cell crisis
  • PID
  • UTI

 

Epigastric pain:

  • Peptic Ulcer Disease
  • Gastric ulcer
  • Duodenitis
  • Cholecystitis
  • Hepatitis
  • Angina
  • Myocardial ischemia
  • Anxiety
  • Gastroenteritis

Periumbilical pain:

  • Small intestine obstruction
  • Intestinal gangrene
  • Appendicitis
  • Mesenteric ischemia or thrombosis
  • Pancreatitis
  • Uremia
  • DKA
  • Anxiety
  • Irritable bowel syndrome

 

Suprapubic pain:

  • Colon obstruction
  • Colon gangrene
  • Diverticulitis
  • Appendicitis
  • Ectopic pregnancy
  • Mittelschmerz
  • Ovarian torsion
  • PID
  • Slampinitis
  • Bladder infection
  • Bladder cancer

 

Right Upper Quadrant:

  • Biliary stone
  • Biliary inflammation
  • Gall stone
  • Hepatitis
  • Hepatic abscess
  • PUD
  • Pyloric stenosis
  • Alcoholic gastritis
  • Hiatal hernia
  • Renal calculi
  • Kidney infection or inflammation
  • Pulmonary infection
  • Pneuomonia
  • Myocardial ischemia

 

Right Lower Quadrant:

  • Acute appendicitis
  • Regional enteritis
  • Incarcerated hernia
  • Diverticulitis
  • Intestinal Obstruction
  • Perforated ulcer
  • Perforated cecum
  • Meckel’s diverticulitis

 

Left Upper Quadrant:

  • Peptic Ulcer Disease
  • Gastritis
  • Pyloric stenosis
  • Hiatal hernia
  • Myocardial ischemia
  • Angina
  • Pancreatitis
  • Pancreatic cancer
  • Splenomegaly
  • Splenic rupture
  • Splenic abscess
  • Renal stone
  • Pyelonephritis
  • Ruptured aortic aneurysm
  • Herpes zoster
  • Perforated colon
  • Diverticulitis

 

Left Lower Quadrant:

  • Intestinal obstruction
  • Perforated ulcer
  • Inflammatory bowel disease
  • Perforated descending colon
  • Inguinal hernia
  • Adhesions
  • Ectopic pregnancy
  • Ovarian cyst
  • Ovarian torsion
  • Mittelschmertz
  • Endometriosis
  • Protatitis
  • Benign Prostatic Hyperplasia
  • Psoas abscess
  • Kidney stone
  • Kidney infection

 

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