Page 1 of 1: severe generalized abdominal pain

bebica · Credits: 25995 My Scrapbook

A 72 year old woman presents in the emergency department complaining of sudden osnet of severe generalized abdominal pain. Past medical history is unremarkable aside from stable angina and left leg claudication. Physical examination of the abdmonen is normal.

Q1 What diagnosis would u consider in this patient at this time? list upto three

Q2 What lab tests may help u to arrive at a definitive diagnosis promptly? select upto 6
1. abdominal US
2. BUN/creatinine
3 cardiac enzymes
4 CT scan abd/pelvis
5 CBC
6 CXR-PA lateral
7 Colonoscopy
8 ECG
9 electrolytes
10 gastroscopy
11 HIDA scan
12 IVP
13 laproscopy
14 laporatomy
15 Liver tests (ast, alt, ast,LDH, bilirubin)
16 serum amylase
17 2D echo of the heart
18 2 views of the abdomen
19 UGI XR
20 urinalysis

soko · Credits: 10608 My Scrapbook

A 72 year old woman presents in the emergency department complaining of sudden osnet of severe generalized abdominal pain. Past medical history is unremarkable aside from stable angina and left leg claudication. Physical examination of the abdmonen is normal.

Q1 What diagnosis would u consider in this patient at this time? list upto three
mesenteric ischemia
PUD
intestinal obstruction

Q2 What lab tests may help u to arrive at a definitive diagnosis promptly? select upto 6
1. abdominal US
2. BUN/creatinine
3 cardiac enzymes ---
4 CT scan abd/pelvis --
5 CBC
6 CXR-PA lateral --
7 Colonoscopy
8 ECG --
9 electrolytes
10 gastroscopy
11 HIDA scan
12 IVP
13 laproscopy
14 laporatomy
15 Liver tests (ast, alt, ast,LDH, bilirubin)
16 serum amylase
17 2D echo of the heart
18 2 views of the abdomen --
19 UGI XR
20 urinalysis

bebica · Credits: 25995 My Scrapbook

mesenteric ischemia
ruptured aortic aneurysm
peritonitis

cardiac enzymes
ECG
2 views of abd
CT scan abd/pelvis
serum amylase

ieva · Credits: 3579 My Scrapbook

Q1 What diagnosis would u consider in this patient at this time? list upto three
1) mesenteric thrombosis
2) Ileus
3) aortic dissection

Q2 What lab tests may help u to arrive at a definitive diagnosis promptly? select upto 6
1. abdominal US*****
2. BUN/creatinine***** (before IV contrast examination for CT)
3 cardiac enzymes
4 CT scan abd/pelvis*****
5 CBC
6 CXR-PA lateral
7 Colonoscopy
8 ECG
9 electrolytes
10 gastroscopy
11 HIDA scan
12 IVP
13 laproscopy
14 laporatomy
15 Liver tests (ast, alt, ast,LDH, bilirubin)
16 serum amylase
17 2D echo of the heart
18 2 views of the abdomen****
19 UGI XR
20 urinalysis

mikejonathan20055 · Credits: 3355 My Scrapbook

A 72 year old woman presents in the emergency department complaining of sudden osnet of severe generalized abdominal pain. Past medical history is unremarkable aside from stable angina and left leg claudication. Physical examination of the abdmonen is normal.

Q1 What diagnosis would u consider in this patient at this time? list upto three
Intestinal Ischemia
Ruptured Aortic Aneurysm
Peritonitis

Q2 What lab tests may help u to arrive at a definitive diagnosis promptly? select upto 6
1. abdominal US------------------------------------
2. BUN/Creatinine---------------------------
3 cardiac enzymes -------------------------
4 CT scan abd/pelvis
5 CBC -----------------------
6 CXR-PA lateral
7 Colonoscopy
8 ECG ------------------------
9 electrolytes
10 gastroscopy
11 HIDA scan
12 IVP
13 laproscopy
14 laporatomy
15 Liver tests (ast, alt, ast,LDH, bilirubin)
16 serum amylase
17 2D echo of the heart
18 2 views of the abdomen---------------------
19 UGI XR
20 urinalysis

maryana · Credits: 15476 My Scrapbook

A 72 year old woman presents in the emergency department complaining of sudden osnet of severe generalized abdominal pain. Past medical history is unremarkable aside from stable angina and left leg claudication. Physical examination of the abdmonen is normal.

Q1 What diagnosis would u consider in this patient at this time? list upto three

Miocardial infarction
Abdominl aortic aneurism rupture
Mesenteric ischemia

Q2 What lab tests may help u to arrive at a definitive diagnosis promptly? select upto 6
1. abdominal US////////
2. BUN/creatinine
3 cardiac enzymes/////////
4 CT scan abd/pelvis ///////////////
5 CBC
6 CXR-PA lateral
7 Colonoscopy
8 ECG
9 electrolytes /////////
10 gastroscopy
11 HIDA scan
12 IVP
13 laproscopy
14 laporatomy////////////
15 Liver tests (ast, alt, ast,LDH, bilirubin)
16 serum amylase
17 2D echo of the heart
18 2 views of the abdomen /////////
19 UGI XR
20 urinalysis

adrian · Credits: 3214 My Scrapbook

Save laparotomy for later and do a CXR instead to check for free air under diaphragm.

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