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- Abdominal Pain in above 65 years means you have to do a USG AAA Screen
- Think Mesenteric Ischemia/Ischemic Colitis when “Pain is out of Proportion”
- Distended Abdomen: Ascites, Bowel Obstruction, Urinary Retention
- Females in 40s = Gall Stones
- Alcoholic and Gall Stones = Pancreatitis (Amylase, Lipase, CT)
- Ascites + Fever = Spontaneous Bacterial Peritonitis
- Young Female = Ectopic or Torsion Ovarian Cyst
- Female with PV Discharge = PID/Tubo-ovarian Abscess
- Gravid Female beyond 20 weeks + Pain (Bleeding +) = Abruptio Placenta
- Young Male = Torsion Testis
- Child (Get a Capillary Gas) = Torsion Testis or DKA
- A child with Purpura on limbs = Intussusception in HSP
- Young Male athlete with Distension = Cecal Volvulus
- Previous Abdominal Surgery with distension = Obstruction
- Loin to Groin + Hematuria on dipstick = Renal Colic (Ketorolac)
- Admission in Renal Colic:
- Concomitant AKI,
- Concomitant Infections,
- Single or transplanted kidney,
- Pain persisting despite adequate analgesia,
- Vomiting severe,
- hydronephrosis on bedside USG Screen
- Admission in Renal Colic:
- Costo-vertebral angle tenderness + Positive Dipstick = Pyelonephritis
- Read Bowel obstruction
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