Differential Diagnosis of Diffuse Aches and Pains
Differential Diagnosis of Diffuse Aches and Pains • Sjögren’s syndrome • Rheumatoid arthritis (RA) • Postviral arthralgias/myalgias • Polymyalgia rheumatica • Paraneoplastic syndrome • Overuse syndromes • Myopathy (polymyositis, dermatomyositis) • Metabo
Differential Diagnosis of Achilles Tendon Rupture
Differential Diagnosis of Achilles Tendon Rupture • Partial rupture of gastrocnemius muscle, often medial head (previously thought to be “plantaris tendon rupture”) • Incomplete (partial) tendo Achillis rupture
Differential Diagnosis of Lactic Acidosis
Differential Diagnosis of Lactic Acidosis • Streptozocin • Shock (hypovolemic, cardiogenic, endotoxic) • Severe congestive heart failure (CHF) • Severe anemia • Sepsis • Seizure activity • Salicylates • Respiratory failure (asphyxia) • Nucleoside reverse
Differential Diagnosis of Metabolic Acidosis with Increase Anion Gap ( Anion Gap Acidosis)
Differential Diagnosis of Metabolic Acidosis with Increase Anion Gap ( Anion Gap Acidosis) • Uremia (chronic renal failure) • Lactic acidosis • Ketoacidosis (diabetes mellitus [DM], alcoholic ketoacidosis) • Ingestion of toxins (paraldehyde, methanol, sa
Differential Diagnosis of Left Lower Quadrant Abdominal Pain
Differential Diagnosis of Left Lower Quadrant Abdominal Pain •vasculitis •inguinal hernia •neoplasm •appendicitis •adhesions •inflammatory bowel disease (IBD) •perforated descending colon, •cyst, tubo-ovarian abscess •mittelschmerz •endometriosis, semi
Differential Diagnosis of Left Upper Quadrant Abdominal Pain
Differential Diagnosis of Left Upper Quadrant Abdominal Pain •hiatal hernia • Vascular: ruptured aortic aneurysm • Trauma • Splenic: splenomegaly, ruptured spleen, splenic abscess, splenic infarction • Renal: calculi, pyelonephritis, neoplasm • Pulmonary
Differential Diagnosis of Medical Causes of Abdominal Pain
Differential Diagnosis of Medical Causes of Abdominal Pain • inflammatory disease (PID) • Urinary tract infection, pyelonephritis, salpingitis, pelvic • Strain or hematoma of rectus muscle • Sickle cell crisis • Ruptured graafian follicle • Pancreatitis •
Differential Diagnosis of Periumbilical Abdominal Pain
Differential Diagnosis of Periumbilical Abdominal Pain • Vascular: mesenteric thrombosis, dissecting aortic aneurysm • Trauma • Pancreatic: pancreatitis • Metabolic: uremia, diabetic ketoacidosis (DKA) • Irritable bowel, anxiety • Intestinal: small bowel
Differential Diagnosis of Poorly Localized Abdominal Pain
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
Differential Diagnosis Causes of Gynecological Causes of Abdominal Pain in Pregnancy
Differential Diagnosis Causes of Gynecological Causes of Abdominal Pain in Pregnancy • Miscarriage (<20 wk; 80% <12 wk) • Septic abortion (<20 wk) • Ectopic pregnancy (<14 wk) • Corpus luteum cyst rupture (<12 wk) • Ovarian torsion (especially <24 wk) •
