Abdominal Pain
Unstable Patient
Determining the Cause
Differential Diagnosis
Acute Pancreatitis, Kidney Infection or Stones, Peritonitis, , Perforated Ulcer, Bowel obstruction, or diverticulitis, Ectopic Pregnancy, Myocardial Infarction, Anaphylaxis, Intestinal Ischemia
| Pivotal Assessment | Finding | ||
|---|---|---|---|
CT |
 Ruptured Abdominal Aortic Aneurysm |
|
Arterial phase enhanced CT scan. HCC of the VII–VIII segment with intra- and extracapsular hemorrhage and active contrast extravasation in the context of peritoneal effusion ((A,B) arrows). (B) Interruption of the Glissonian capsule (arrowhead) with concomitant hemoperitoneum (asterisk) is clearly visible.
|
Free Air in Abdomen |
 Dead Bowel |
Intestinal Obstruction | |
| Acute Pancreatitis | Normal | ||
| History | Cirrohsis, History of | ||
Ruptured Spleen