Yafunu yareɛ
Yafunu yareɛ yɛ nsɛnkyerɛnneɛ bi a ɛyɛ yareɛ a ano yɛ den na ɛsane yɛ yareɛ a ano nnyɛ den. Nea ɛde yafunu yareɛ ba no bi ne gastroenteritis ne irritable bowel syndrome.[1] Nnipa bɛyɛ ɔhamu nkyekyɛmu du num na ɛwɔ tebea a ano yɛ den yi bi te sɛ appendicitis, leaking or ruptured abdominal aortic aneurysm, diverticulitis, anaasɛ nyinsɛn a abɔfra no kɔda awieeɛ no akyi.[1] Nea ɛtɔ so mmiɛnsa a ɛde saa yareɛ no ba no mu nna hɔ.[1] Yareɛ ahodoɔ bi nso bɛtumi de yafunu yareɛ aba, ɛkwan a yɛbɛfa so ayɛ nhwehwɛmu ahodoɔ afa obi ho wɔ ne nnidisoɔ so no nso hia.[2]
Nhwehwɛmu Ahodoɔ
Nea Mpempii no ɛde yafunu yareɛ ba yɛ gastroenteritis (13%), irritable bowel syndrome (8%), dwonsɔ mu haw (5%), inflammation of the stomach (5%) and ayamtim (5%). Ɔhaw no mu ɔhamu nkyekyɛmu aduasa mu no, wɔnhunu nea ɛde ba.Ɛmu ɔhamu nkyekyɛmu du yɛ nea ɛde ba no ano yɛ den a gallbladder (gallstones or biliary dyskinesia) or pancreas problems (4%), diverticulitis (3%), appendicitis (2%) ne kokoram ka ho (1%).[1] Deɛ ɛtaa ba wɔn a wanyini so no bi neischemic colitis, [3]mesenteric ischemia, ne abdominal aortic aneurysms ne afoforɔ a ɛyɛ hu.[4]
Yafunu yareɛ a ano yɛ den
[5]Yafunu yareɛ a ano yɛ den no yɛya,ɛba toatoa so a gyesɛ yɛyɛ wo opirehan de si ano kwan. Ɛteɛ ne hwene a ɔsane , abdominal distention,tiridii ne Birim bɔ tumi de yaw no ba. Tebea baako a yɛtaa hunu paa ne appendicitis a ano yɛ den..[6]
Nea ɛdeba no bi ne
- Traumatic: blunt or perforating trauma to the stomach, bowel, spleen, brɛboɔ anaa sawa
- Inflammatory:
- Nsa yadeɛ bi te sɛ appendicitis, cholecystitis, pancreatitis, pyelonephritis, Peritonitis, pelvic inflammatory disease, hepatitis, mesenteric adenitis, anaasɛ a subdiaphragmatic abscess
- Perforation of a peptic ulcer, a diverticulum, or the caecum
- Complications of inflammatory bowel disease such as Crohn's disease or ulcerative colitis
- Mechanical:
- Small bowel obstruction secondary to adhesions caused by previous surgeries, intussusception, hernias, benign or malignant neoplasms
- Large bowel obstruction caused by colorectal cancer, inflammatory bowel disease, volvulus, fecal impaction or hernia
- Vascular: occlusive intestinal ischemia, usually caused by thromboembolism of the superior mesenteric artery
By system
sesaNnoɔma pii a ɛde ba no nso bi ne
- Gastrointestinal
- GI tract
- Inflammatory: gastroenteritis, appendicitis, gastritis, esophagitis, diverticulitis, Crohn's disease, ulcerative colitis, microscopic colitis
- Obstruction: hernia, intussusception, volvulus, post-surgical adhesions, tumors, severe constipation, hemorrhoids
- Vascular: embolism, thrombosis, hemorrhage, sickle cell disease, abdominal angina, blood vessel compression (te sɛ celiac artery compression syndrome), superior mesenteric artery syndrome, postural orthostatic tachycardia syndrome
- Digestive: peptic ulcer, lactose intolerance, celiac disease, food allergies, indigestion
- Glands
- Bile system
- Inflammatory: cholecystitis, cholangitis
- Obstruction: cholelithiasis, tumours
- Brɛboɔ
- Inflammatory: hepatitis, liver abscess
- Pancreatic
- Inflammatory: pancreatitis
- Bile system
- GI tract
- Renal and urological
- Inflammation: pyelonephritis, bladder infection
- Obstruction: kidney stones, urolithiasis, urinary retention, tumours
- Vascular: left renal vein entrapment
- Gynaecological or obstetric
- Inflammatory: pelvic inflammatory disease
- Mechanical: ovarian torsion
- Endocrinological: menstruation, Mittelschmerz
- Tumors: endometriosis, fibroids, ovarian cyst, ovarian cancer
- Pregnancy: ruptured ectopic pregnancy, threatened abortion
- Abdominal wall
- muscle strain or trauma
- muscular infection
- neurogenic pain: herpes zoster, radiculitis in Lyme disease, abdominal cutaneous nerve entrapment syndrome (ACNES), tabes dorsalis
- Referred pain
- from the thorax: pneumonia, pulmonary embolism, ischemic heart disease, pericarditis
- from the spine: radiculitis
- from the genitals: testicular torsion
- Metabolic disturbance
- uremia, diabetic ketoacidosis, porphyria, C1-esterase inhibitor deficiency, adrenal insufficiency, lead poisoning, black widow spider bite, narcotic withdrawal
- Blood vessels
- aortic dissection, abdominal aortic aneurysm
- Immune system
- sarcoidosis
- vasculitis
- familial Mediterranean fever
- Idiopathic
- irritable bowel syndrome (IBS)(affecting up to 20% of the population, IBS is the most common cause of recurrent and intermittent abdominal pain)
Baabi a ɛwɔ
sesaBaabi a yafunu yareɛ no wɔ no bɛtumi ama yɛahunu nea ɛde baeɛ. Yafunu no mu bɛtumi akyɛ nnan a yɛfrɛ no quadrants. Locations ne associated conditions a ɛno ne:[7]
- Diffuse
- Peritonitis
- Vascular: mesenteric ischemia, ischemic colitis, Henoch-Schonlein purpura, sickle cell disease, systemic lupus erythematosus, polyarteritis nodosa
- Small bowel obstruction
- Irritable bowel syndrome
- Metabolic disorders: ketoacidosis, porphyria, familial Mediterranean fever, adrenal crisis
- Epigastric
- Heart: myocardial infarction, pericarditis
- Stomach: gastritis, stomach ulcer, stomach cancer
- Pancreas: pancreatitis, pancreatic cancer
- Intestinal: duodenal ulcer, diverticulitis, appendicitis
- Right upper quadrant
- Liver: hepatomegaly, fatty liver, hepatitis, liver cancer, abscess
- Gallbladder and biliary tract: inflammation, gallstones, worm infection, cholangitis
- Colon: bowel obstruction, functional disorders, gas accumulation, spasm, inflammation, colon cancer
- Other: pneumonia, Fitz-Hugh-Curtis syndrome
- Left upper quadrant
- Splenomegaly
- Colon: bowel obstruction, functional disorders, gas accumulation, spasm, inflammation, colon cancer
- Peri-umbilical (the area around the umbilicus, aka the belly button)
- Appendicitis
- Pancreatitis
- Inferior myocardial infarction
- Peptic ulcer
- Diabetic ketoacidosis
- Vascular: aortic dissection, aortic rupture
- Bowel: mesenteric ischemia, Celiac disease, inflammation, intestinal spasm, functional disorders, small bowel obstruction
- Lower abdominal pain
- Diarrhea
- Colitis
- Crohn's
- Dysentery
- Hernia
- Right lower quadrant
- Colon: intussusception, bowel obstruction, appendicitis (McBurney's point)
- Renal: kidney stone (nephrolithiasis), pyelonephritis
- Pelvic: cystitis, bladder stone, bladder cancer, pelvic inflammatory disease, pelvic pain syndrome
- Gynecologic: endometriosis, intrauterine pregnancy, ectopic pregnancy, ovarian cyst, ovarian torsion, fibroid (leiomyoma), abscess, ovarian cancer, endometrial cancer
- Left lower quadrant
- Bowel: diverticulitis, sigmoid colon volvulus, bowel obstruction, gas accumulation, Toxic megacolon
- Right low back pain
- Liver: hepatomegaly
- Kidney: kidney stone (nephrolithiasis), complicated urinary tract infection
- Left low back pain
- Spleen
- Kidney: kidney stone (nephrolithiasis), complicated urinary tract infection
- Low back pain
- kidney pain (kidney stone, kidney cancer, hydronephrosis)
- Ureteral stone pain
Beaɛ a menyaa mmoa firiiɛ
sesa- ↑ 1.0 1.1 1.2 1.3 https://doi.org/10.1093%2Ffampra%2Fcmu036
- ↑ http://www.merriam-webster.com/dictionary/differential+diagnosis?show=0&t=1419934834
- ↑ Hung, Alex; Calderbank, Tom; Samaan, Mark A.; Plumb, Andrew A.; Webster, George (1 January 2021). "Ischaemic colitis: practical challenges and evidence-based recommendations for management". Frontline Gastroenterology. 12 (1): 44–52. doi:10.1136/flgastro-2019-101204. ISSN 2041-4137
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4306086
- ↑ https://www.lecturio.com/concepts/appendicitis/
- ↑ https://www.lecturio.com/concepts/appendicitis/
- ↑ Masters P (2015). IM Essentials. American College of Physicians. ISBN 9781938921094