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Abdominal Distention
Abdominal Pain
Adrenal Mass
Alopecia
Amenorrhea
Anorexia
Anuria
Arthritis
Ascites
Back Pain
Breast Lump
Chest Pain
Chills
Clubbing
Coma
Constipation
Cough: Acute and Chronic
Cyanosis
Delirium
Dementia
Diaphoresis
Diarrhea: Acute and Chronic
Diplopia
Dizziness
Dyspareunia
Dysphagia
Dyspnea
Dysuria
Earache
Edema
Epistaxis
Facial Swelling
Failure to Thrive
Fever
Fever of Unknown Origin (FUO)
Flank Pain
Flatulence
Frequency
Galactorrhea
Genital Sore
Gynecomastia
Headache
Heartburn
Hematemesis, Melenemesis, and Melena
Hematochezia
Hematuria
Hemoptysis
Hepatomegaly
Hiccups (Singultus)
Hirsutism
Hypersomnia
Impotence (Erectile Dysfunction)
Incontinence (Urinary)
Insomnia
Jaundice
Loss of Consciousness
Low Back Pain
Lymphadenopathy and Splenomegaly
Melena
Nausea and Vomiting
Night Sweats
Nystagmus
Oliguria/Anuria
Palpitations
Pleural Effusion
Pruritis
Seizures
Sleep Disturbance: Insomnia, Hypersomnia
Smell Disorders: Anosmia, Hyposmia, Parosmia, Olfactory hallucination
Splenomegaly
Syncope
Taste Disorders: Dysgeusia, Hypogeusia, Ageusia
Tremors
Vaginal Bleeding
Vaginal Discharge
Vertigo
Vision Loss, Acute
Vomiting
Weight loss
Wheezing
Xerostomia
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This section presents some of the more common presenting symptoms, physical signs, and other conditions that are encountered in daily patient care. It is not an all-inclusive listing but provides a starting point for patient care. This primarily notes common diagnostic possibilities in adults with select pediatric differentials.
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Ascites, intestinal obstruction, ovarian/renal cysts, tumors, hepatosplenomegaly, abdominal aortic aneurysm, uterine enlargement (pregnancy), bladder distention/retention, inflammatory mass
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ABDOMINAL PAIN (SEE ALSO FIGURE 9-1)
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Characterized by location of abdominal pain based on Figure 9-1.
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Diffuse: Gastroenteritis, intestinal angina, early appendicitis, colitis, diabetic ketoacidosis, hereditary angioedema, mesenteric thrombosis, mesenteric lymphadenitis, peritonitis, porphyria, sickle cell crisis, uremia, renal colic, renal infarct, pancreatitis
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Right upper quadrant: Gallbladder disease (cholecystitis, cholangitis, choledocholithiasis), hepatitis, hepatomegaly, pancreatitis, pneumonia, pulmonary embolus, pyelonephritis, renal colic, renal infarct, appendicitis (retroperitoneal)
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Left upper quadrant: Esophagitis, hiatal hernia, esophageal rupture, gastritis, pancreatitis, PUD, myocardial infarction, pericarditis, dissecting aneurysm, pneumonia, pulmonary embolus, pyelonephritis, renal colic, renal infarct, splenic abscess, splenic rupture, splenic infarct
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Lower abdomen: Aortic aneurysm, colitis including inflammatory bowel disease, diverticulitis including Meckel diverticulum, intestinal obstruction, hernia, perforated viscus, pregnancy, ectopic pregnancy, dysmenorrhea, endometriosis, mittelschmerz (ovulation), ovarian cyst or tumor (especially with torsion), PID, renal colic, UTI, rectal hematoma, bladder distension
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Right lower quadrant: Appendicitis, ectopic pregnancy, ovarian cyst or tumor, salpingitis, mittelschmerz, cholecystitis, perforated duodenal ulcer, Crohn’s disease
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Adenoma, hyperplasia, metastasis, adrenocortical carcinoma, pheochromocytoma, cyst, varices, hemorrhage, congenital adrenal hyperplasia, ganglioneuroma, micronodular adrenal disease
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Male pattern baldness (androgenic type ...