Diverticulitis differential diagnosis: Difference between revisions
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[[Diarrhea]] | [[Diarrhea]] | ||
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* [[Leukocytosis]] | * [[Leukocytosis]] | ||
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|LLQ / RRQ | |LLQ / RRQ | ||
|[[Constipation]] | |[[Constipation]] | ||
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* [[Leukocytosis]] | * [[Leukocytosis]] | ||
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|LLQ | |LLQ | ||
|[[Bloody diarrhea]] | |[[Bloody diarrhea]] | ||
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* [[Leukocytosis]] | * [[Leukocytosis]] | ||
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|[[Constipation]] | |[[Constipation]] | ||
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* Serum [[carcino-embryogenic antigen]] | * Serum [[carcino-embryogenic antigen]] | ||
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|[[Strangulated hernia]] | |[[Strangulated hernia]] | ||
|LLQ | |LLQ | ||
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* No specific tests | * No specific tests | ||
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|[[Cystitis]] | |[[Cystitis]] | ||
|LLQ | |LLQ | ||
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* Suprapubic tenderness | * Suprapubic tenderness | ||
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Groin pain | Groin pain | ||
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* Tender and enlarged | * Tender and enlarged | ||
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|[[Pelvic inflammatory disease]] | |[[Pelvic inflammatory disease]] | ||
|Bilateral | |Bilateral | ||
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* Purulent vaginal discharge | * Purulent vaginal discharge | ||
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|[[Endometritis]] | |[[Endometritis]] | ||
|LLQ | |LLQ | ||
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* No specific tests | * No specific tests | ||
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* Ultrasound is helpful to rule out other differential diagnosis such as pelvic abscess, thrombosis and masses | * [[Ultrasound]] is helpful to rule out other differential diagnosis such as pelvic abscess, thrombosis and masses | ||
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* Vaginal discharge | * [[Vaginal discharge]] | ||
* Vaginal bleeding | * Vaginal bleeding | ||
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|LLQ/ RLQ | |LLQ/ RLQ | ||
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| align="center" style="padding: 5px 5px; background: " |+/- | | align="center" style="padding: 5px 5px; background: " | +/- | ||
| align="center" style="padding: 5px 5px; background: " |+/- | | align="center" style="padding: 5px 5px; background: " | +/- | ||
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* Leukocytosis | * [[Leukocytosis]] | ||
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* Pelvic ultrasound | * Pelvic ultrasound | ||
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* Vaginal discharge | * [[Vaginal discharge]] | ||
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* Culture: Positive for single organism | * Culture: Positive for single organism | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound for evaluation of liver cirrhosis | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound for evaluation of [[liver cirrhosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |<nowiki>-</nowiki> | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |<nowiki>-</nowiki> | ||
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** Glucose < 50mg/dl | ** Glucose < 50mg/dl | ||
** Total protein > 1g/dl | |||
** Total protein > 1g/dl | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Air under [[diaphragm]] in upright [[CXR]] | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Air under [[diaphragm]] in upright [[CXR]] | ||
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* [[Hyperbilirubinemia]] | * [[Hyperbilirubinemia]] | ||
* [[Leukocytosis]] | * [[Leukocytosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound shows gallstone and evidence of inflammation | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Ultrasound shows [[gallstone]] and evidence of inflammation | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Murphy's sign|Murphy’s sign]] | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Murphy's sign|Murphy’s sign]] | ||
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Revision as of 20:13, 18 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2],Seyedmahdi Pahlavani, M.D. [3], Omodamola Aje B.Sc, M.D. [4], Ahmed Elsaiey, MBBCH [5]
Overview
Diverticulitis must be differentiated from other diseases that cause lower abdominal pain and fever like appendicitis, inflammatory bowel disease, colon cancer, cystitis, and endometritis. Diverticulitis must be also differentiated from diseases causing peritonitis.
Differentiating Diverticulitis from other Diseases
Diverticulitis must be differentiated from other diseases that cause lower abdominal pain and fever. Diverticulitis must be also differentiated from diseases causing peritonitis.
Differentiating diverticulitis from diseases causing lower abdominal pain and fever
Diverticulitis must be differentiated from other diseases that cause lower abdominal pain and fever like appendicitis, inflammatory bowel disease, colon cancer, cystitis, and endometritis.[1][2][3][4][5][6]
Diseases | Symptoms | Signs | Diagnosis | Other Features | |||||
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Abdominal pain | Bowel habits | Rebound tenderness | Guarding | Genitourinary signs | Lab findings | Imaging | |||
GI diseases | Diverticulitis | LLQ | Constipation
or |
- | + | + |
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Appendicitis | LLQ / RRQ | Constipation | + | + | - |
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Inflammatory bowel disease | LLQ | Bloody diarrhea | - | - | - |
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Colon carcinoma | LLQ | Constipation | - | - | - |
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Strangulated hernia | LLQ | - | - | - | - |
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Gentiourinary diseases | Cystitis | LLQ | - | + | - |
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Prostatitis | LLQ
Groin pain |
- | - | - |
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Pelvic inflammatory disease | Bilateral | - | - | - |
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Gynecological diseases | Endometritis | LLQ | - | + | - | + |
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Salpingitis | LLQ/ RLQ | +/- | +/- |
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Differentiating diverticulitis from diseases causing peritonitis
Differentiating diverticulitis from diseases causing chronic diarrheaThe following diseases must be differentiated from diverticulitis presenting with chronic diarrhea.[7][8][9][10][10]
References
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