Lower Abdominal pain
COVID-19 clinical presentation
<div class="redbox">
<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
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*Common causes
*Must not miss!
- Acute abdomen
- Vascular
- Aortic aneurysm
(Rupture or Dissection) - Mesenteric ischaemia
- Aortic aneurysm
- Infection
- Malignancy
- Acute urinary retention
- Testicular torsion
- DKA
*Easily missed
Red flags
- Acute severe pain
- Weight loss
- Systemic features (fever, night sweats, anorexia)
- Rectal bleeding
- Persistent altered bowel habit: age > 50 years
- Anaemia
- Abdominal swelling/mass
- Rectal mass
- Pregnancy
- Raised inflammatory markers
- Known AAA
- Past history of cancer
- Family history of cancer
Investigations to consider
- FBC, CRP/ESR
- U&Es, LFTs, Blood glucose, Bone profile
- Serum amylase
- FIT and Calprotectin
- Urinalysis/MSU
- Pregnancy test
- ECG
- AXR, KUB/ IVU, CXR
- USS (Abdo & Pelvis)
- Small bowel enema
- Barium enema
- Colonoscopy
- CT
- Angiography