CAUSES OF ABDOMINAL PAIN :
ABDOMINAL PAIN, ACUTE - LOCALIZED
1. GASTRODUODENAL
- GASTRIC OR DUODENAL ULCER, PERFORATED
- GASTRIC CARCINOMA, PERFORATED
- GASTRITIS, ACUTE
- IRRITANT POISONS
2. INTESTINAL
- SMALL BOWEL OBSTRUCTION
- REGIONAL ILEITIS( CROHNS DISEASE )
- INTUSSUSCEPTION
- SIGMOID VOLVULUS
- ACUTE COLONIC DIVERTICULITIS
- LARGE BOWEL OBSTRUCTION DUE TO NEOPLASM
- STRANGULATED EXTERNAL HERNIA
- AC MESENTERIC OCCLUSION DUE TO ARTERIAL EMBOLISM , THROMBOSIS OR TO VENOUS THROMBOSIS
3. APPENDIX
- ACUTE APPENDICITIS
- COLIC DUE TO FAECOLITH
4. PANCREAS
- ACUTE PANCREATITIS
- RECURRENT PANCREATITIS
- PANCREATIC TRAUMA
5. GALL BLADDER & BILE DUCT
- CALCULUS IN GALL BLADDER OR CBD
- ACUTE CHOLECYSTITIS
- ACUTE CHOLANGITIS
6. LIVER
- TRAUMA
- ACUTE HEPATITIS
- MALIGNANT DISEASE PRIMARY OR SECONDARY
- CONGESTIVE CARDIAC FAILURE
7. SPLEEN
- TRAUMA
- SPONTANEOUS RUPTURE ( IN MALARIA OR INFECTIOUS MONONUCLEOSIS )
- INFARCTION
8. URINARY TRACT
- RENAL, URETERIC OR VESICLE CALCULUS
- RENAL TRAUMA
- PYELONEPHRITIS
- PYONEPHROSIS
9. FEMALE GENITALS
- SALPINGITIS
- PYOSALPINX
- ECTOPIC PREGNANCY
- TORSION OF SUBSEROUS FIBROID
- RED DEGENERATION OF FIBROID
- TWISTED OVARIAN CYST
- RUPTURED OVARIAN CYST
10. AORTA
- RUPTURED ANEURYSM
- DISSECTING ANEURYSM
11. REFERED PAIN FROM OTHER STRUCTURES
- HERPES ZOSTER
- PAIN DUE TO COMPRESSION OF NERVE ROOTS DUE TO PROLAPSED INTERVERTIBRAL DISC, POTTS SPINE, TRAUMA SPINE OR SECONDARIES
- MYOCARDIAL INFARCTION
- ACUTE PERICARDITIS
- AC DIAPHRAGMATIC PLEURISY
OTHER TESTS :
* UPPER GI ENDOSCOPY - CAN DIAGNOSE AC GASTRITIS , PEPTIC ULCERS, CANCER
* ULTRA SOUND WHOLE ABDOMEN - CAN REVEAL GAS UNDER DOME OF DIAPHRAGM IN CASE OF PERFORATION , SECONDARIES IN ABDOMEN IN CASE OF CARCINOMA , PANCREATITIS , INTESTINAL OBSTRUCTION, ANY INTRA ABDOMINAL TUMOUR, INTUSSUSCEPTION, STRANGULATED EXTERNAL HERNIA , APPENDICULAR LUMP, GALL BLADDER PATHOLOGIES, LIVER PATHOLOGIES, SPLEENIC RUPTURE, RENAL PATHOLOGIES, ECTOPIC PREGNANCY, SALPINGITIS, FIBROID, TWISTED OR RUPTURED OVARIAN CYST ETC
* X-RAY ABDOMEN ERECT - GAS UNDER DOME OF DIAPHRAGM IN CASE OF PERFORATION. > 3 FLUID LEVELS IN CASE OF INTESTINAL OBSTRUCTION
* LDH & SERUM AMYLASE - HIGH IN PANCREATITIS
* COLONOSCOPY - LARGE BOWEL TUMOURS , INTUSSUSCEPTION
* ABDOMINAL COLOR DOPPLER - MESENTERIC ARTRY THROMBOSIS , RUPTURED ANEURYSM OR DISSECTING ANEURYSM
* URINE ROUTINE - PYONEPHROSIS , CALCULUS , PYELONEPHRITIS , TRAUMA.
CT SCAN ABDOMEN - CAN DISGNOSE TUMOURS , ANEURYSM , LIVER OR ALL ABDOMINAL PATHOLOGIES.
* ECG - AC MYOCARDIAL INFARCTION IN CASE OF REFERRED PAIN IN ABDOMEN
* LIVER FUNCTION TEST - ABNORMAL IN LIVER DISEASES
* STOOL ROUTINE - OVA / CYST , OCCULT BLOOD IN CASE OF G.I. BLEEDING