Appendicitis differential diagnosis: Difference between revisions
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Since appendicitis presents as the general symptom of [[abdominal pain]], appendicitis must be differentiated from other diseases and disorders causing similar pain and symptoms. This differentiation can be done according to age group: | Since appendicitis presents as the general symptom of [[abdominal pain]], appendicitis must be differentiated from other diseases and disorders causing similar pain and symptoms. This differentiation can be done according to age group: | ||
===In | ===In children:=== | ||
*[[Gastroenteritis]] | *[[Gastroenteritis]] | ||
*[[Mesenteric adenitis]] | *[[Mesenteric adenitis]] | ||
| Line 16: | Line 16: | ||
*Lobar [[pneumonia]] | *Lobar [[pneumonia]] | ||
===In | ===In adults:=== | ||
*[[Regional enteritis]] | *[[Regional enteritis]] | ||
* [[Renal colic]] | * [[Renal colic]] | ||
| Line 29: | Line 29: | ||
* Ruptured [[Graafian follicle]] | * Ruptured [[Graafian follicle]] | ||
===In the | ===In the elderly:=== | ||
*[[Diverticulitis]] | *[[Diverticulitis]] | ||
* [[Intestinal obstruction]] | * [[Intestinal obstruction]] | ||
| Line 36: | Line 36: | ||
* Leaking [[aortic aneurysm]]. | * Leaking [[aortic aneurysm]]. | ||
===Other | ===Other causes mimicking appendicitis at any age=== | ||
In general: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:40 ISBN 1591032016</ref> | In general: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:40 ISBN 1591032016</ref> | ||
Revision as of 16:29, 14 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Appendicitis presents with pain near the navel, specifically the right lower quadrant of the abdomen. Because it is mainly characterized by different variants in type of abdominal pain, appendicitis must be differentiated from other diseases and disorders causing similar symptoms.
Differentiating Appendicitis from other Diseases
Since appendicitis presents as the general symptom of abdominal pain, appendicitis must be differentiated from other diseases and disorders causing similar pain and symptoms. This differentiation can be done according to age group:
In children:
- Gastroenteritis
- Mesenteric adenitis
- Meckel's diverticulum
- Intussusception
- Henoch-Schõnlein purpura
- Lobar pneumonia
In adults:
- Regional enteritis
- Renal colic
- Perforated peptic ulcer
- Testicular torsion
- Pancreatitis
- Rectus sheath hematoma
- Pelvic inflammatory disease
- Ectopic pregnancy
- Endometriosis
- Torsion/rupture of ovarian cyst
- Ruptured Graafian follicle
In the elderly:
- Diverticulitis
- Intestinal obstruction
- Colonic carcinoma
- Mesenteric infarction
- Leaking aortic aneurysm.
Other causes mimicking appendicitis at any age
In general: [1]
- Acute Gastroenteritis
- Luminal obstruction caused by:
- Barium
- Fecaliths
- Foreign body
- Fruit seeds
- Hypertrophy of the lymphatic tissue
- Parasites
- Stricture
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:40 ISBN 1591032016