Level 1: Abdominal Pain – Physical Exam: Expert Panel DDX

How does your differential compare with the experts?

Is there any additional testing (i.e., lab, imaging, etc.) you would perform at this time?

Experts’ DDX:

  1. Inflammatory
    1. Peptic ulcer disease (PUD)/gastritis
    2. Gastro-esophageal reflux disease (GERD)/Barrett’s esophagus
    3. Pancreatitis
  2. Infectious
    1. Gastroenteritis – viral
    2. Gastroenteritis – bacterial
    3. Hepatitis
    4. Cholecystitis
  3. Medication induced
  4. Abdominal aortic aneurysm (AAA)
  5. Emergencies
    1. Small bowel obstruction (SBO)/adhesions
    2. Appendicitis
    3. Volvulus
    4. Perforated ulcer
    5. Kidney stone
    6. Pyelonephritis
    7. Urinary tract infection (UTI)
    8. Splenic infarct
    9. Mesenteric ischemia
    10. Portal vein thrombosis
  6. Diabetic ketoacidosis (DKA)
  7. Porphyria
  8. Hemolysis
  9. Sickle cell crisis
  10. Malignancy – colon
  11. Pregnancy
    1. Ectopic
  12. Myocardial infarction (MI)