Mesenteric Ischemia

Symptoms

  • Embolism: Acute onset of severe, constant, unrelenting , poorly localized pain

  • Acute-on-chronic arterial thrombosis: gradual onset of poorly localized abdominal pain, nausea, bloody stools

  • Nonocclusive ischemia: intermittent, poorly localizing pain followed by diffuse pain with nausea, vomiting

  • Venous thrombosis: intermittent episodes of diffuse, nonspecific pain that becomes constant with anorexia and diarrhea

Bowel Obstruction

Symptoms

  • Intermittent, diffuse, crampy abdominal pain

  • Abdominal distension

  • Nausea, vomiting

  • Inability to have bowel movement or pass flatus

Ruptured AAA

Symptoms

  • Acute onset of abdominal pain, flank pain, low back pain, groin pain

  • Associated lightheadedness or syncope

Ruptured Ovarian Cyst

Symptoms

  • Acute onset of severe, sharp, unilateral lower abdominal pain

  • Pain may become more generalized

  • Pain worsened by movement, driving, or walking

  • Lightheadedness or syncope if ongoing hemorrhage

Ruptured Ectopic Pregnancy

Symptoms

  • Acute onset severe, lower abdominal pain (may be unilateral initially)

  • Vaginal bleeding

  • Pain radiating to the shoulder

  • Lightheadedness, syncope

Perforated Appendicitis

Symptoms

  • Constant, generalized lower abdominal pain, typically worse in the right lower quadrant

  • Pain worsened by movement, walking, driving

  • Associated fever, chills, malaise

Perforated Diverticulitis

Symptoms

  • Gradually worsening left lower quadrant abdominal pain (may become more generalized)

  • Pain worsened by movement, walking, driving

  • Associated fever, chills, malaise, nausea, vomiting

Perforated Ulcer

Symptoms

  • Acute onset, severe, upper abdominal pain that rapidly worsens and becomes generalized

  • May have associated fever, nausea, vomiting

  • May be preceded by symptoms of PUD

Pancreatitis

Symptoms

  • Severe upper abdominal pain (typically epigastric)

  • Pain radiating to the back

  • Nausea, vomiting

  • Pain worse after eating

PUD

Symptoms

  • Burning or aching pain in the upper abdomen

  • Pain may radiate to the back

  • Highly variable depending on location: gastric ulcers cause bloating and nausea after eating, while duodenal ulcers cause pain when the stomach is empty and improve with eating

ACS

List of Symptoms

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Aortic Dissection

List of Symptoms

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Cholelithiasis

Symptoms

  • Sharp, intermittent, right upper quadrant abdominal pain

  • Pain may radiate to the back

  • Often associated with nausea, vomiting

  • May be precipitated by eating

  • Jaundice suggests common bile duct obstruction

Cholecystitis

Symptoms

  • Constant right upper quadrant abdominal pain lasting >6 hours

  • Pain may radiate to back or right shoulder

  • Pain may be worsened by inspiration

  • May be associated with fever, chills, nausea, vomiting, malaise

Diverticulitis

Symptoms

  • Progressively worsening lower left quadrantLLQ abdominal pain

  • May be associated with fever , nausea, vomiting

PID & TOA

Symptoms

  • PID: gradual onset of lower abdominal pain (typically a dull ache), vaginal discharge, dyspareunia, and dysuria

  • May also have fever, back pain, nausea, vomiting

  • TOA: same as PID but pain may be worse on one side of the pelvis

  • Often clinically asymptomatic until unilateral adnexal tenderness or fullness noted on pelvic exam of patient with PID

Ectopic Pregnancy

Symptoms

  • Lower abdominal pain or vaginal bleeding in the pregnant patient

  • May be painless

  • If painful, noted as constant lower abdominal pain that may range in severity (often localizes to one side of the lower abdomen)

  • Rupture suggested by acute onset of severe pain, diffuse abdominal pain, pain radiating to the shoulder, or associated lightheadedness or syncope

Ovarian Cyst

Symptoms

  • Similar to unruptured ectopic pregnancy (but patient not pregnant)

  • Constant, sharp, unilateral lower abdominal pain

Ovarian Torsion

Symptoms

  • Sudden onset sharp, stabbing lower abdominal pain

  • Pain described as moderate to severe

  • Pain may be intermittent or constant

  • Pain may radiate to back, flank, or groin

Septic Abortion

List of Symptoms

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Retained POC

List of Symptoms

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Nephrolithiasis

Symptoms

  • Acute onset of sharp, severe, intermittent flank pain that may radiate to the groin

  • May have associated nausea, vomiting, dysuria, and/or hematuria

AAA

Symptoms

  • Typically asymptomatic until rapid expansion, leakage, or rupture occurs

  • Typically vague midabdominal pain or low back pain

  • Dull, throbbing sensation in the abdomen or sensation of fullness

  • Expansion or rupture suggested by acute onset of abdominal pain, flank pain, low back pain, groin pain

  • Associated lightheadedness or syncope suggests rupture

Pyelonephritis

Symptoms

  • Typically characterized by constant, unilateral flank pain and fever

  • May have associated nausea, vomiting, urinary frequency, dysuria, and/or hematuria

  • Mental status changes often the only symptom in elderly patients; suggest serious illness

Cholelithiasis

Symptoms

  • Sharp , intermittent, right upper quadrant abdominal pain

  • Pain may radiate to the back

  • Often associated with nausea, vomiting

  • May be precipitated by eating

  • Jaundice suggests common bile duct obstruction

Cholecystitis

Symptoms

  • Constant right upper quadrant abdominal pain lasting >6 hours

  • Pain may radiate to back or right shoulder

  • Pain may be worsened by inspiration

  • May be associated with fever, chills, nausea, vomiting, malaise

Hepatitis

Symptoms

  • Dull, constant right upper quadrant abdominal pain

  • May have associated jaundice, fever, chills, malaise, itching, dark urine

Pancreatitis

Symptoms

  • Severe upper abdominal pain (typically epigastric)

  • Pain radiating to the back

  • Nausea, vomiting

  • Pain worse after eating

PUD

Symptoms

  • Burning or aching pain in the upper abdomen

  • Pain may radiate to the back

  • Highly variable depending on location: gastric ulcers cause bloating and nausea after eating, while duodenal ulcers cause pain when the stomach is empty and improve with eating

Appendicitis

Symptoms

  • Progressively worsening constant right lower quadrant pain

  • Pain may migrate from the periumbilical region to the right lower quadrant

  • May have associated fever, chills, vomiting, and/or diarrhea

  • May presents as right upper quadrant or right flank pain in pregnancy

Pneumonia, ACS, PE

List of Symptoms

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Appendicitis

List of Symptoms

  • Progressively worsening constant right lower quadrant pain

  • Pain may migrate from the periumbilical region to the right lower quadrant

  • May have associated fever, chills, vomiting, and/or diarrhea

  • May present as right upper quadrant or right flank pain in pregnancy

Diverticulitis

Symptoms

  • Progressively worsening lower left quadrantLLQ abdominal pain

  • May be associated with fever , nausea, vomiting

PID & TOA

Symptoms

  • PID: gradual onset of lower abdominal pain (typically a dull ache), vaginal discharge, dyspareunia, and dysuria

  • May also have fever, back pain, nausea, vomiting

  • TOA: same as PID but pain may be worse on one side of the pelvis

  • Often clinically asymptomatic until unilateral adnexal tenderness or fullness noted on pelvic exam of patient with PID

Ectopic Pregnancy

Symptoms

  • Lower abdominal pain or vaginal bleeding in the pregnant patient

  • May be painless

  • If painful, noted as constant lower abdominal pain that may range in severity (often localizes to one side of the lower abdomen)

  • Rupture suggested by acute onset of severe pain, diffuse abdominal pain, pain radiating to the shoulder, or associated lightheadedness or syncope

Ovarian Cyst

Symptoms

  • Similar to unruptured ectopic pregnancy (but patient not pregnant)

  • Constant, sharp, unilateral lower abdominal pain

Ovarian Torsion

Symptoms

  • Sudden onset sharp, stabbing lower abdominal pain

  • Pain described as moderate to severe

  • Pain may be intermittent or constant

  • Pain may radiate to back, flank, or groin

  • Nausea, vomiting

Septic Abortion

Symptoms

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Retained POC

Symptoms

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AAA

Symptoms

  • Typically asymptomatic until rapid expansion, leakage, or rupture occurs

  • Typically vague midabdominal pain or low back pain

  • Dull, throbbing sensation in the abdomen or sensation of fullness

  • Expansion or rupture suggested by acute onset of abdominal pain, flank pain, low back pain, groin pain

  • Associated lightheadedness or syncope suggests rupture

Appendicitis

Symptoms

  • Progressively worsening constant right lower quadrant pain

  • Pain may migrate from the periumbilical region to the right lower quadrant

  • May have associated fever, chills, vomiting, and/or diarrhea

  • May present as right upper quadrant or right flank pain in pregnancy

Hernia

Symptoms

  • Depends on location and degree of herniation

  • Localized swelling somewhere on the surface of the abdomen or groin

  • May be painful

  • Discomfort may be worsened by standing, straining, coughing, lifting heavy objects

  • Incarceration suggested by severe pain, vomiting