Gallstone Colic Jaundice Biliary Colic Pain in Epigastrium or Right Upper Quadrant radiating to lower right Scapula No fever Tenderness in The RU
Gallstone Colic
Jaundice
Biliary Colic
Pain in Epigastrium or Right Upper Quadrant radiating to lower right Scapula
No fever
Tenderness in The RUQ
WCC Normal
Confirmation : Ultrasonography of Gallbladder and Biliary Ducts
Acute Cholecystitis
Fever
Jaundice
Positive Murphy Sign
WCC : Leukocytosis
Confirmation US Gall bladder and Biliary Ducts
Acute Pancreatitis
Pain radiating straight through to the back
Pain better on sitting or leaning forward
general Abdominal tenderness
reduced bowel sounds
Confirmation : Serum Amylase or Serum Lipase and CT Pancreas
Acute Cholangitis
Charcot Triad : Fever , RUQ painand Jaundice
Hypotension
WCC : Leucocytosia
Confirmation : US gallbladder , Biliary Ducts and Blood Cultures
Gastric Carcinoma
Anorexia
Fullness
Pain
Virchow Node
Confirmation : Upper GIT endoscopy with Biopsy
Gastritis
Epigastric Pain
Dull
Burning Discomfort
Nocturnal Pain
Confirmation : Esophagogastoscopy , Barium Meal and PH study
Hiatus Hernia
Heart Burn worsens by Lying Down
relieved by Antacids
Acute Coronary Syndrome
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