Appendicitis:
Gradual onset periumbilical pain that eventually migrates to the RLQ.
Fever
Nausea
Possible rebound tenderness at RLQ
Positive Psoas Sign
Cholecystitis:
RUQ pain that is constant and may radiate to the right scapula or right shoulder tip.
Pain usually occurs following ingestion of a fatty meal.
Nausea and emesis of bile.
Fever may be present.
Usually there is a history of similar attacks.
Positive for Murphy's sign.
Pancreatitis:
Boring epigastric pain.
History of ETOH use is common.
Nausea
Fever may be present.
AAA:
Umbilical pain that may radiate to the sacrum.
Lower limb weakness with sudden onset.
Diminished distal pulses.
Tachycardia
Nausea
Pallor
Hypotension if tearing occurs. Can rapidly progress to death.
Bowel Obstruction:
Generally diffuse, crampy, colicky pain with a gradual onset.
Distension and tenderness.
History of absent bowel movements, or loose, watery, stools.
Generally occurs in the setting of GI motility disorders, Inflammatory bowel diseases, or long term use of narcotic pain relievers.
The patient may present with fecal-emesis.
Ectopic Pregnancy:
Sharp lower quadrant pain or pelvic pain on the affected side.
Possible vaginal bleeding if rupture occurs.
Missed menstrual periods.
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