abdominal pain
Download
Skip this Video
Download Presentation
ABDOMINAL PAIN

Loading in 2 Seconds...

play fullscreen
1 / 7

ABDOMINAL PAIN - PowerPoint PPT Presentation


  • 90 Views
  • Uploaded on

ABDOMINAL PAIN. Dr. Bandar saleh.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'ABDOMINAL PAIN' - ervin


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
abdominal pain

ABDOMINAL PAIN

Dr.Bandarsaleh

present history
15 year old female comes to the clinic presenting with a chief complaint of abdominal pain. The abdominal pain is generalized in location, and described as a dull pain, non-radiating. She notes some acid reflex, and reports she has a history of gastritis. She also notes decreased appetite recently. Denies any nausea or vomiting, denies any recent bowel changes.Present History
slide3
PastMedicalHistory : no thing
  • PastSymptomsHistory : no thing
  • FamilyHistory:no thing .
social h istory
Denies current sexual activity, denies alcohol use or smoking. LMP was 2 week ago.
  • Physical Exam: Unremarkable except some generalized tenderness in the abdominal region, no rebound, no guarding. Rectal/pelvic exam was deferred.
Social History
differential d iagnosis
-Gastritis/GERD
  • -Parasites
  • -Pregnancy
  • -Gastroenteritis
  • -Irritable Bowel Syndrome
Differential Diagnosis
laboratory test
There are several parasitology tests that are available at the clinic, but we chose to do a simple microscopic examination (“Parasitologia Simple) as well as an cytologic examination of the fecal mucous (“Moco Fecal”). The microscopic exam simply examines a portion of stool under the microscope to look for any eggs, cysts, or other evidence of parasites. The fecal mucous test is a way to examine the cytology of stool, looking for any evidence of certain cells (e.g. neutrophils, eosinophils, etc.) The fecal mucous test helps to determine if a gastrointestinal infection is of viral or bacterial origin.
  • At least at clinic, there is no availability of testing for GERD (e.g. H. pylori antibodies, breath test, etc.). However, if we truly suspect gastritis/GERD and want to confirm the diagnosis, we can refer the patient to have an endoscopy.
  • Although we do have a urine pregnancy test available at the clinic, we did not order it, mainly based on the patient’s denial of sexual activity and recent menstruation.
Laboratory Test
treatment plan
We chose to treat the patient for gastritis/GERD symptoms, and started her on omeprazole (proton pump inhibitor) and metoclopromide (antiemetic and gastroprokinetic). Gastritis/GERD.However, pending her stool results, we would also start her on an antiparasitic, the one commonly used here is tinidazole. The main side effect of tinidazoleis that it can have a disulfiram-like reaction when drinking alcohol.
  • In many cases of abdominal pain, especially abdominal pain in children, physicians will treat the patient with antiparasiticsempirically, as it is such a common problem. Particularly within the patient population ,giardiasis appears to be a common problem.
Treatment Plan
ad