Differential Diagnosis of Poorly Localized Abdominal Pain
• uraemia, • Somatization disorder, malingering, hypochondriasis, Munchausen’s syndrome, functional • Referred pain: • Pulmonary: pneumonia, pulmonary embolism, pneumothorax • actue intermittent porphyria • Musculoskeletal: rectus sheath hematoma • Metabolic: diabetic ketoacidosis (DKA) • Infectious: infectious mononucleosis, Rocky Mountain spotted fever, acquired immunodeficiency syndrome (AIDS), streptococcal pharyngitis (in children), herpes zoster • hypothyroidism • hypokalaemia • hyperthyroidism • hyperparathyroidism • hyperlipidaemia, • hypercalcemia, • Hematologic: sickle cell crisis, leukemia or lymphoma, Henoch- Schönlein purpura • Genitourinary: prostatitis, epididymitis, orchitis, testicular torsion • Early appendicitis, gastroenteritis, peritonitis, pancreatitis, abdominal aortic aneurysm, mesenteric insufficiency or infarction, intestinal obstruction, volvulus, ulcerative colitis • Drugs and toxins: heavy metal poisoning, black widow spider bites, withdrawal syndromes, mushroom ingestion • Cardiac: angina, myocardial infarction, pericarditis, myocarditis
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