Abdominal Work up

Location Differential
Epigastric -PUD
-GERD
-MI
-AAA
-Pancreatic pain
-Gallbladder
-Common bile duct obstruction
RUQ -Acute Cholecystitis and Biliary
Colic
-Acute Hepatitis or Abscess
-Hepatomegaly due to CHF
-Perforated Duodenal Ulcer
-Herpes Zoster
-Myocardial Ischemia
-Right Lower Lobe Pneumonia
LUQ -Acute Pancreatitis Cholecystitis
-Gastric ulcer
• Diagnosis
-Gastritis – CBC
-Splenic enlargement, rupture or – LFTs (bilirubin, alkaline phosphatase), serum
infarction pancreatic enzymes
-Myocardial ischemia – Plain abdominal films demonstrate biliary air,
hepatomegaly and maybe gallstones
-Left lower lobe pneumonia
– Ultrasound- considered accurate about 95%
• Management
Periumbilical -Disease of transverse colon – Admission
Pain -Gastroenteritis • #1 complication of acute cholecystitis is infection
-Small Bowl pain
-Appendicitis
-Early bowl obstruction
Peptic Ulcers

Acute Pancreatitis

Other Photos