MALE Benign/NOS

Pt presents with abdominal pain. Nontoxic appearing and w nml VS’s. Unlikely acute abdomen, nephrolithiasis, cholelithiasis, UTI. Low suspicion for torsion. Pt tolerating PO and w pain improvement in ED. Shared decision making w patient to trial PO pain control at home.

FEMALE Benign/NOS

Pt presents with abdominal pain. Nontoxic appearing and w nml VS’s. Not pregnant/not ectopic, unlikely PID. Unlikely acute abdomen, nephrolithiasis, cholelithiasis, UTI. Low suspicion for torsion. Pt tolerating PO and w pain improvement in ED. Shared decision making w patient to trial PO pain control at home.

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Pt presents with abdominal pain.

Unlikely AAA- location inconsistent, no bruits, no h/o HTN,
Unlikely cholecystitis – location inconsistent, no relation with meals, neegative murphy’s
Unlikely SBO – pt having normal BMs and flatus. No N/V
Unlikely Appy – location inconsistent, no anorexia, no fever
Unlikely Mes Isch- HPI inconsistent, does not coincide with meals, other dx more likely
Unlikely kidney stone- no radiation to back or CVA tenderness, no dysuria, no hematuria
Unlikely Pancreatitis – no h/o alcohol abuse, unlikely gallstone obstructing, location inconsistent
Unlikely Diverticulitis – age and location not most common, no h/o diverticula, no fever, no WBC, no bloody stool

Unlikely TOA- no systemic symptoms, location inconsistent, pelvic exam benign
Not Ectopic – negative ICON
Unlikely torsion – no adnexal tenderness
Unlikely PID – no h/o STDs, monogamous w partner also expected to be monogamous, no vaginal discharge

 

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