Differential diagnosis of inguinal swelling

Mass of the inguinal region (differential) Radiology

  1. Mass of the inguinal region (differential) Dr Mostafa El-Feky et al. The differential diagnosis of a mass in the inguinal region includes: inguinal hernia. femoral hernia. hydrocele of the canal of Nuck. spermatic cord hydrocele. lymphadenopathy or necrotic lymph node. aneurysm or pseudoaneurysm of the femoral artery
  2. swelling may be malignant or benign (Figure 1). A careful assessment of the Differential diagnosis of a scrotal mass The authors discuss the various presentations of scrotal swellings, explaining inguinal orchidectomy with excision of the testis and cord at the level of the internal ring, with or without the insertion of a.
  3. Differential diagnoses: Presentation of groin swellings. Dr Stollery discusses the diagnosis of congenital hydrocoele, hydrocoele, inguinal hernia and inguinoscrotal hernia. by Dr Nigel Stollery
  4. al pain and vomiting at first, but after this the abdo
  5. ROBERT FERRER, M.D., M.P.H., University of Texas Health Sciences Center at San Antonio, San Antonio, Texas. Am Fam Physician. 1998 Oct 15;58 (6):1313-1320. Although the finding of lymphadenopathy.

What are the differential diagnosis for signs and symptoms of inguinal adenopathy, rash on palms, ankle pain, swollen ankles? MD Hi...I am searching for differential diagnoses for signs and symptoms to include (a) inguinal adenopathy, (b) rash on palms and soles, (c) ankle pain, (d) swollen ankles. Differential diagnosis of scrotal swelling, from the online textbook of urology by D. Mansk While there are benign conditions such as insect bites or rashes that can cause pain, the main concern is for testicular torsion which is a surgical emergency. The differential diagnosis of scrotal swelling includes: Painful scrotum, tender testi Groin swelling is a sign of fluid buildup or inflammation in the groin area. The groin area is basically where your abdomen ends and your legs begin. The groin is also called the inguinal area and includes your upper inner thigh, as well as the front area where your legs attach to your torso

Differential diagnosis of a scrotal mas

  1. The patient received benzodiazepines which eased withdrawal symptoms and he was admitted for continued treatment. Mechanisms of Lower Extremity Edema: 1. Differential Diagnosis of Lower Extremity Edema: 1,2. Evaluation: History 1,2. Duration: acute (72h) vs. chronic Pain: DVT, CRPS, less severe in venous insufficiency; Systemic Disease. Cardiac.
  2. ation findings. Although data are limited, in one report, the sensitivity and specificity of the physical..
  3. Differential diagnosis. Due to the presentation with a painful inguinal swelling, the differential includes an incarcerated inguinal or femoral hernia. Imaging finding of a tubular structure within the inguinal canal in the setting of an acute presentation and a history of an orchiectomy may lead to a misdiagnosis of an Amyand hernia

Differential diagnoses: Presentation of groin swellings



  1. Causes. By Mayo Clinic Staff. The most common cause of groin pain is a muscle, tendon or ligament strain, particularly in athletes who play sports such as hockey, soccer and football. Groin pain might occur immediately after an injury, or pain might come on gradually over a period of weeks or even months
  2. We reported a case of right inguinal endometriosis in a 41-year-old woman with unremarkable surgical and gynaecological history. She presented with right groin swelling for a month since her last menstrual period. Clinically the swelling was first diagnosed as inguinal hernia and later histologically proven to be endometriosis
  3. al distention diagnosis will typically rely on careful clinical assessment to recognize the symptom, especially if the patient is already overweight or obese. However, finding swelling in..

Inguinal endometriosis: a differential diagnosis of right groin swelling in women of reproductive age. Fong KNY(1), Lau TWS(2), Mak CCC(3), Lui KW(3). Author information: (1)Department of Pathology, Tseung Kwan O Hospital, Hong Kong. (2)Department of Pathology, Queen Mary Hospital, Hong Kong. (3)Department of Surgery, Yan Chai Hospital, Hong Kong A 63-year-old female presented with four days of progressive swelling over her right inguinal area. While initially painless, the patient developed significant discomfort in the days preceding her presentation to the emergency department. Most inguinal hernias can be safely managed in the ED - but beware the zebras that require emergency surgery Inguinal endometriosis: a differential diagnosis of right groin swelling in women of reproductive age Katie Nga Yee Fong, 1 Tiffany Wing See Lau, 2 Clarence Chi Chuen Mak, 3 Ka Wing Lui

Lymphadenopathy: Differential Diagnosis and Evaluation

Differential Diagnosis: Liver & Ascites False Appearance. Not all patients with a protruberant abdomen or history of increasing abdominal girth have ascites. The following conditions may give a false positive appearance of ascites: The obese patient with a lax anterior abdominal wall may have a protuberant umbilicus (everted umbilicus sign The differential diagnosis of an inguinal mass includes a hernia, adenopathy, endometriosis, and varices. Often times, the round ligament varicosities are misdiagnosed, where clinicians perceive it to be an obstructed inguinal hernia due to patients presenting with swelling and tenderness of the groin area that is enlarged by an increase in. Abdominal distension is diffuse swelling or enlargement of the abdomen. It can also apply to the sensation of elevated abdominal pressure and volume

Differential diagnosis of right inguinal swelling - Doctor

Differential Diagnosis. A A Font Size Share Print More Information. Disease/Condition. Pain and swelling typically develops over the course of a few days, unlike testicular torsion, which is usually of sudden onset. It may be restricted to the scrotum or it may extend into the inguinal canal Differential diagnosis of groin swellings Ken Lee Wan, Monash This section lists some of the main conditions that should be considered in the differential diagnosis of groin hernias. Also look at the posts How to present a history and examination in a groin hernia, Differentiating between hernia and hydrocele, and Classification of hernias Causes and differential diagnosis of the swellings in the Epigastrium A. PARIETAL SWELLING :- In addition to the swellings discussed under the right hypochondrium i.e. tumours of the skin and subcutaneous tissue, cold abscess, hepatic, subphrenic and perigastric abscesses, the swelling peculiar to this region is the epigastric hernia

Scrotal Swelling (Differential diagnosis

The differential diagnosis of scrotal swelling includes: Painful scrotum, tender testis Epididymitis Orchitis Testicular torsion Trauma - e.g. hematocoele Painful scotum, non-tender testis Incarcerated hernia Insect bite Rash Torsion of testicular appendix Painless scrotum, testis enlarged Genetic syndrome - e.g. Fragile The differential diagnosis of a swelling in the groin is broad. Common causes are inguinal or femoral herniae, enlarged lymph nodes, swellings arising from structures within the skin such as lipomata and sebaceous cysts, and vascular pathology such as saphena varix and femoral artery aneurysms Causes and differential diagnosis of the swellings in the Right Hypochondrium. A. PARIETAL SWELLING :- Besides the swellings involving the skin and subcutaneous tissue e.g. sebaceous cyst, lipoma, fibroma, neurofibroma, angioma etc. as may occur in other situation, the special parietal swelling is a cold abscess arising from caries of the rib.

Encysted hydrocele of spermatic cord | Image | Radiopaedia

What is the Differential Diagnosis of Scrotal Swelling

Clinically, it presents with nonspecific symptoms of inguinal swelling and local pain that can mimic orchitis, epididymitis, testicular torsion, and inguinal hernia. Familiarity with symptoms, image findings, and differential diagnoses is essential to prevent unnecessary surgery, especially when symptoms mimic an inguinal hernia There is associated labial swelling, intense pain and dysuria and sometimes, large tender inguinal lymph nodes. Recurrent episodes of ulceration on the genital and oral mucosa associated with uveitis is suggestive of Behçet disease. Crohn disease. Mixed inflammatory lesions, fissures, and 'knife-cut' ulcers of variable severity are found - Differential diagnosis of pediatric testicular pain - Differential diagnosis of painless scrotal swelling in children; RELATED TOPICS. Acute scrotal pain in adults; Body piercing in adolescents and young adults; Brucellosis: Epidemiology, microbiology, clinical manifestations, and diagnosis; Causes of painless scrotal swelling in children and. The six F's summarise causes of abdominal swelling: Fluid, Fat, Faeces, Flatus, Fetus, and Flippin' big mass (or Fatal mass). It's a mnemonic taught in medical school to group diagnoses when a patient presents with this symptom. While it can be a helpful framework to jog memory, none of the F's ar

Groin SwellingSymptoms, Causes, Treatment

Differential Diagnosis of Medial Groin Pain. which is an important differential diagnosis in the patient with chronic groin pain. with painful areas of well-defined erythema and edema on. Inguinal endometriosis can present as a rare tumor when it occurs outside the abdomen and pelvis. We present a patient with a painful tumor in the right inguinal region, where its diagnosis was made before the operation. This enabled a conservative excisional surgery to be performed. The literature is reviewed and the diagnosis as well as management are discussed Fatal swelling of the groin - Clear cell sarcoma: a rare but important differential diagnosis to malignant melanoma Clinical Letter ab cd Figure 1olid tumor tissue with numerous S epitheloid shaped cells and only very few areas with melanophages. Most of the tumor is not pigmented. Tumor cells show partly enlarged, prominent macro nucleoli (he

Differential Diagnosis of Lower Extremity Edem

DIFFERENTIAL DIAGNOSIS right hypochondrium. 18. Intra abdominal swellings These swellings arise from following organs. I. Liver II. Gall bladder III. Subphrenic abscess IV. Pylorus of stomach and deudenum V. Hepatic flexure of colon VI. Right kidney VII.Right supra renal gland DIFFERENTIAL DIAGNOSIS right hypochondrium. 19. I Diagnostic aspects of cervical lymphadenopathy in children in the developing world: a study of 1,877 surgical specimens. Pediatr Surg Int. 2003 Jun. 19 (4):240-4. [Medline]. Miller DR. Hematologic malignancies: leukemia and lymphoma (Differential diagnosis of lymphadenopathy) Differentiating Tests. Groin ultrasound scan can detect an undescended testis from an inguinal hernia. Other tests such as CT scan of the mass and MRI scan, are equally sensitive. Lymphadenopathy. Differntiating Signs/Symptoms. An enlarged lymph node may be associated with a history of trauma, infection or malignancy

Inguinal Hernias: Diagnosis and Management - American

A 77-year-old woman with pain and swelling of the left lower limb; ultrasound detected left inguinal lymphadenomegaly; after surgical removal, histological diagnosis was metastasis of neuroendocrine carcinoma (poorly differentiated), consistent with Merkel cell carcinoma metastasis (T2N1Mx) The differential diagnosis of lymphoedema from other chronic oedema and mixed oedema is based largely on a good history, but there are some investigations that would help differentiate and therefore direct patient care more appropriately. Quick flowchart of Lymphoedema differential diagnosis and a Cellulitis or Red Legs Flowchar If the patient has a right-sided inguinal hernia and obstructive symptoms such as nausea, vomiting, anorexia, pain, or constipation, the hernia may contain part of the cecum which is causing the obstruction. Figure 7. Differential diagnoses common to the right iliac region include appendicitis, inguinal hernia, and small bowel obstruction

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Differential diagnoses: Abdominal swellings GPonlin

Swollen Lymph Nodes in Groin: Causes, Diagnosis, and

This case applies the differential diagnosis of lymphadenopathy. The most abnormal finding on examination was non-tender, left supraclavicular lymphadenopathy. The duration of symptoms and lack of tenderness is concerning for malignancy, and the left supraclavicular location suggests a thoracic or intra-abdominal source Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose abdominal edema, we could: Research the topic; Find a doctor with the time; Use a diagnostic computer system. The process is the same, whichever method is used Differential diagnoses of superficial vein thrombosis include:. Deep vein thrombosis (DVT) — presents with pain and swelling, tenderness, redness and warmth of the skin, and vein distension in one leg.It is distinguished from superficial vein thrombosis by generalized pain and swelling of the leg that is not localized to a thrombosed vein A swollen abdomen is most commonly caused by gastrointestinal issues that induce bloating. Some of these conditions include IBS, heartburn, bacteria in the intestines, or constipation. More serious and rare causes for stomach swelling are blockage in the intestines, a tumor located in the abdomen, or fluid in the abdomen which can be caused by liver disease, heart failure or cancer

Description: The enlarged bowel containing inguinal canal is demonstrated measuring approximately 1.5 cms. Differential Diagnosis Inguinal hernia Final Diagnosis Right inguinal hernia with bowel loops extending into the scrotal sa Symptoms. Your lymphatic system is a network of organs, vessels and lymph nodes situated throughout your body. Many lymph nodes are located in your head and neck region. Lymph nodes that frequently swell are in this area, as well as in your armpits and groin area. Swollen lymph nodes are a sign that something is wrong somewhere in your body

Timely evaluation and intervention are critical in children presenting with abdominal pain. A broad spectrum of etiologies can cause abdominal pain, and diagnosis can be challenging. In most cases, a thorough history and physical exam can narrow the differential diagnoses. Additional investigations may be required to confirm the diagnosis Click for pdf: Approach to Lymphadenopathy Definition Lymphadenopathy is defined as enlargement of lymph nodes. This process is often secondary to infection and is frequently benign and self-limited. Viral or bacterial infections lead to localized responses from lymphocytes and macrophages, leading to enlargement of nodes. There may also be localized infiltration by inflammatory cells in [ Differential Diagnosis for Abdominal Pain Based on History and Physical Examination In spite of the fact that area of stomach pain or abdominal pain directs the underlying assessment, related signs and indications are prescient of certain reasons for pain in the abdomen and can limit the differential diagnosis This video relates abdominal pain according to different abdominal regions and states the most important differential diagnosis of each pain position

Evaluation of Scrotal Masses - American Family Physician

[Bursitis iliopectinea--a rare differential diagnosis of

Abdominal hernias are usually a clinical diagnosis. Imaging : indicated if the diagnosis is unclear and/or to identify contents of the hernial sac (e.g., loops of bowel) Ultrasound : especially useful to identify ventral hernias (e.g., epigastric, Spigelian, incisional, or umbilical hernia [3 MIN READ] Patients with abdominal pain are a common and constant challenge to practitioners in primary care, pediatrics, urgent care, and emergency medicine.During the period of 2006 to 2014, there was a 32% increase in ED visits for the complaint of abdominal pain, so that as of 2014, abdominal pain is the most frequent diagnosis for an ED visit We report the case of a 36-year-old woman who presented with signs and symptoms of an irreducible inguinal hernia. Surgical exploration revealed a mesothelial cyst of the round ligament of the uterus. Mesothelial cysts of the round ligament are rare lesions, frequently masquerading as inguinal hernias, and should be included in the differential diagnosis of any inguinal mass Differential Diagnosis 1 ACUTE PYELONEPHRITIS Pathogenesis: Acute pyelonephritis is an infection found in the upper urinary tracts. E. coli, Proteus or Pseudomonas are the most common microorganisms.; The microorganisms move up along the ureters and can enter the bloodstream

Summarily, the exact incidence and prevalence of MTS are unknown as most of those cases are asymptomatic and require no treatment unless there is a significant compression that causes a leg swelling, as in this case. 1,4,5 This is a rare cause that deserves to be listed in the differential diagnosis of unilateral leg swelling The information on the possible differential diagnosis of appendicitis is based on the European Association of Endoscopic Surgery (EAES) guideline Diagnosis and management of acute appendicitis.EAES consensus development conference 2015 [Gorter, 2016], the World Society of Emergency Surgery (WSES) consensus guidelines Diagnosis and treatment of acute appendicitis: 2020 update of the WSES.

What is the differential diagnosis of a groin mass

The differential diagnoses and lists contained herein are not meant to be exhaustive, but are to give in most cases the most common causes of many ocular / visual symptoms, signs and situations. Included also in these lists are also some less common, but serious conditions that must be ruled-out. These lists have bee The resolution of edema is due, in these cases, to anti-inflammatory and pharmacological treatment and, if necessary, to antibiotics. A special case of edema that can induce doubts of differential diagnosis with deep vein thrombosis and that is determined by the presence of serous cyst of the popliteal cable is known as Baker's cyst Next: Differential of abdominal pain Up: Differential Diagnosis Previous: Differential Diagnosis Index Differential of abdominal distension Abdominal distension may be due to any of the famous `F's; Fluid This fluid may be inside the bowel or outside the bowel. As noted in the section on pathophysiology above fluid accumulates in the bowel in. Divide the differential diagnosis into 1) systemic illnesses such as heart failure, liver disease, malnutrition, and thyroid disorder; 2) local conditions such as pelvic tumors, infection, trauma, and venous thrombosis; and 3) medications known to increase the risk of edema of the lower extremities. Edema can be categorized according to.

Tonsillitis is a bacterial or viral infection that causes inflammation and swelling of the tonsils. Most often, this infection is characterized by two distinct traits; sore throat and difficulty swallowing. Differential Diagnosis. Peeling also occurs in axilla, groin, and tips of the fingers and toes He denies having fevers, chest pain, palpitations, abdominal pain or swelling, hemoptysis, rash, or urinary symptoms. The patient denies use of alcohol, drugs, or medications and believes he eats a fairly typical Ugandan nonvegetarian diet. He recalls several weeklong febrile episodes of cough and flu in the past 4 years, all of which have. Periorbital edema has a wide and broad differential. In general, it can be categorized based on the following: unilateral vs. bilateral and acute vs. chronic. Figure 1 and 2 below encompasses a multitude of diagnoses, however, it they do not represent a complete comprehensive list

Lymphedema is an important differential diagnosis in lower limb swelling, with various investigation and treatment options available. In this review, we look at the common causes of lower limb swelling and their clinical features, the investigations used to exclude nonlymphedematous causes, and the current treatment of lymphedema in the Western. Scrotal swelling can happen rapidly or slowly over time. One of the main causes of painful scrotal swelling is testicular torsion. This is an injury or an event that causes a testicle in the. The differential diagnosis between indirect and direct inguinal hernias can be made by identifying their origins relative to the inferior epigastric vessels (see Fig. 1). The origin of indirect hernia is at the deep inguinal ring located just laterally to the inferior epigastric vessels, then following inferiorly and medially through the.

A 79 year old woman with a swollen right leg | The BMJ

Outlook. In most cases, a lump in the groin is either a cyst, a hernia, or a swollen lymph node. Cysts often resolve on their own and rarely lead to additional complications. Swollen lymph nodes. Swollen lymph nodes in the groin are usually a sign that there is an infection or inflammation in the genitals or lower body, such as the legs or possibly the feet Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity (obesity). Cardiovascular system (I00-I99) Aortic aneurysm - wall bulge of the aorta. Infectious and parasiti Differential Diagnosis for UTI Differential Diagnosis I and Final Diagnosis: UTI. Rationale: Mrs. Smith's presentation of symptoms such as abdominal pain, back pain, urinary frequency with little urine being made, dysuria, and foul-smelling urine provide rationale that this could be a Urinary Tract Infection Differntiating Signs/Symptoms. Typically a chronic or acute-on-chronic presentation, with vague pain complaints. May have rest or night pain. Constitutional symptoms (fevers, chills, malaise) often present. An unremarkable hip examination possible if the infectious process involves the pelvis. Differentiating Tests

This differential diagnosis is compatible with Mr. Walker because of the abdominal pain he has described, along with the rebound tenderness and guarding found on physical examination. Furthermore, Mr. Walker has an extensive family history of gallstones involving his siblings and his mother. Differential Diagnosis 3 : Pancreatiti What is the differential diagnosis of an inguinal hernia A Small intestine B. What is the differential diagnosis of an inguinal. School International University; Course Title GEOLOGY 2570; Uploaded By GeneralResolve2329. Pages 137 This preview shows page 88 - 91 out of 137 pages.. Differential Diagnosis of Neck Swellings - Very important to differentiate between both types, because each has a different management - Both are deep to the fascia, so their consistency is similar (firm) diagnosed by U/S. 2) Neck lump moving with deglutition but not with tongue protrusion Thyroid swelling The differential diagnosis of spinal cord infarction is broad and holds multiple entities under the roof of acute nontraumatic myelopathy. These can be categorized into (a) inflammation, (b) infection, (c) compressive myelopathy, (d) venous congestion related to vascular malformations such as spinal dural arteriovenous fistula (SDAVF. Appendicitis. Pain localized to the right iliac fossa, vomiting, abdominal ultrasound sensitivity for diagnosis of acute appendicitis is 75% to 90%. Ruptured ovarian cyst. Usually spontaneous, can follow history of trauma, mild chronic lower abdominal discomfort may suddenly intensify, ultrasound is diagnostic

Groin pain (male) Causes - Mayo Clini

  1. It should be taken into consideration that there may be urinary bladder herniation in the differential diagnosis of inguinal swelling in patients presenting with symptoms of inguinal hernia at an advanced age. There is a need for methods that may reduce the morbidity and mortality secondary to bladder herniation. Keywords: Inguinal hernia.
  2. al Swelling and Bloating Symptoms Abdo
  3. al pain and abdo
  4. Lymphadenopathy or adenopathy is a disease of the lymph nodes, in which they are abnormal in size or consistency.Lymphadenopathy of an inflammatory type (the most common type) is lymphadenitis, producing swollen or enlarged lymph nodes. In clinical practice, the distinction between lymphadenopathy and lymphadenitis is rarely made and the words are usually treated as synonymous

Inguinal swelling differential diagnosis - Doctor answers

  1. CT scan confirmed it to be a synovial cyst. Computed arthrotomogram or arthrography showed communication of the cyst with the hip joint. Synovial cysts and iliopsoas bursa enlargement may be more common than previously reported and should be considered as a differential diagnosis in patients with unusual inguinal swelling
  2. Following the diagnosis of an incarcerated inguinal hernia, the patient was brought to the operating room to undergo an inguinal hernia surgery repair.During the operation, a small indirect hernia was noticed with no content and the presence of inflammatory tissue limited around the vas deferens.A mesh was positioned to strengthen the weakness.
  3. al masses by means of displacement by a vector rather than a classification in to retroperitoneal and intraperitoneal is demonstrated
  4. The most common cause of a groin lump is swollen lymph nodes. These may be caused by: Cancer, most often lymphoma (cancer of the lymph system) Infection in the legs. Body-wide infections, often caused by viruses. Infections spread through sexual contact such as genital herpes, chlamydia, or gonorrhea
  5. Churchills Pocketbook of Differential Diagnosis. Farida Yildirim. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 14 Full PDFs related to this paper. READ PAPER. Churchills Pocketbook of Differential Diagnosis. Download. Churchills Pocketbook of Differential Diagnosis

ANATOMY An endocrine organ, consisting of 2 lateral lobes (which are pear shaped), joined by an isthmus over 2 nd-4 th tracheal rings. A pyramidal lobe is sometimes present over the isthmus Weighs 7 -25 g in Africans, and 15 -25 g in Caucasians It is plastered to the trachea by the pre-tracheal fascia, thus causing the thyroid gland to move on swallowing For goitre to be visible, the thyroid. Most common form presents as a fluctuant, ovoid swelling enveloping the testis or located above the testis along the spermatic cord (when a normal spermatic cord and inguinal ring can be felt above). May accompany a varicocele, testicular torsion, testicular cancer, or an inguinal hernia, or be caused by trauma Diagnosis. Idiopathic edema is a diagnosis of exclusion, must first rule out CHF, cirrhosis, renal failure, nephrotic syndrome, chronic venous insufficiency, and medication-induced edema; Management. Treatment is based on addressing underlying disease process Idiopathic pedal edema need not to be treated with diuretics; Dispositio Lymphomas in the stomach or intestines can cause abdominal pain, nausea, or vomiting. Symptoms from lymphoma in the chest When lymphoma starts in the thymus or lymph nodes in the chest, it may press on the nearby trachea (windpipe), which can cause coughing, trouble breathing, or a feeling of chest pain or pressure

Nuck's hydroceles, which develop in a protruding part of the parietal peritoneum into the female inguinal canal, are rare abnormalities and a cause of inguinal swelling, mostly resulting in pain. They appear when this evagination of the parietal peritoneum into the inguinal canal fails to obliterate. Our review of the literature on this topic included several case reports and two case. Distinguishing between localized and generalized lymphadenopathy is important in formulating a differential diagnosis. In primary care patients with unexplained lymphadenopathy, approximately three fourths of patients will present with localized lymphadenopathy and one fourth with generalized lymphadenopathy. Swollen lymph nodes by anatomic site

Clinical diagnosis can be difficult. Symptoms are nonspecific during clinical evaluation, characterized by a reduced or painful range of motion, a painful straight leg raise test, and locking of the joint [].O'Donnell et al. [] have proposed a diagnostic test for ligamentum teres tears with a sensitivity and specificity of 90 % and 85 %, respectively Today we're going to focus on acute abdominal pain. We'll discuss the things that can kill people emergently when they call 911 with abdominal pain, and where to start with: Ruptured AAA.

Differential diagnosis of groin swellingsChild with lymphadenopathyDifferential diagnosis in Gynecological practice