DDC - Acute Appendicitis - Pain starts over centre of...

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Acute Appendicitis - Pain starts over centre of abdomen and is colicky in nature. - Later moves into iliac fossa and is then more constant. - Patient prefers to lie with knees bent. - Pain on movement. Malaise, vomiting, anorexia, occasional change in bowel habit. Acute Bronchitis - Main differentiating feature is time (i.e. acute = less than 3 months - Usually caused by primary infection or a complication of URTI. - Cough, sputum (colour depends on causative agent), wheeze, not usually fever or dyspnea (unless acute -superimposed on chronic bronchitis). Acute cholecystitis - 95% due to stones, but occasionally without. - Stone remains impacted which then leads to chemical stasis and sterile inflammation and can cause secondary infection by enteric organisms. - Fever, toxaemia, leukocytosis, rigors. - Upper abdominal pain in epigastrium and ® hypochondrium, radiating around to the back, and classically up in between the scapulae. - Extremely tender, often palpable mass. Acute cystitis - Bacterial infection of the bladder that leads to inflammation. - Dysuria, urinary frequency and urgency, suprapubic pain and tenderness, cloudy, smelly, or bloody urine. Acute diverticulitis - “Left-sided appendicitis”. - Acute onset of central abdominal pain which shifts to left iliac fossa accompanied by fever, vomiting, local tenderness and guarding. - Vague mass may be felt in the left iliac fossa and also on rectal exam (Not to be confused with residual concrete from extra-curricular, homosexual activities from weekend). - Perforation into general peritoneal cavity produces the signs of general peritonitis. - A peri-colic abscess is like an appendix abscess but on the left hand side – a tender mass accompanied by a swinging (what a slut!) fever and increased white cell count. Acute gastritis (inflammation of gastric epithelium) - Anorexia, coated tongue, pain over epigastrium, persistent vomiting, occasionally can have persistent massive bleeding. Acute hepatitis - Flu like symptoms (chills, headaches, malaise, fever). - GIT symptoms – anorexia, nausea, vomiting, diarrhoea, distaste for rich fatty foods, distaste for ciggies, constant upper abdominal pain, tender liver, tender enlarged cervical lymph nodes, splenomegaly (especially in kids), itching, spider naevi, palmar erythema. - Icteric phase: Dark urine and yellow tint to sclera heralds the onset of jaundice. An obstruction to biliary canaliculi develops, jaundice deepens, stools become paler (grey or yellow), urine darker, and liver more easily palpable. - Jaundice peaks in weeks 1-2 and fades during a 2-4 week recovery phase.
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Acute pancreatitis - Pain sudden in onset and severe, often occurs within 12-24 hours. - Pain is in epigastric or right hypochondrial ; persistent pain radiates THROUGH to the back, shoulders or iliac fossae then entire abdomen. -
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This note was uploaded on 07/15/2011 for the course ECO 2023 taught by Professor Mr.raza during the Summer '10 term at FAU.

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DDC - Acute Appendicitis - Pain starts over centre of...

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