Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged woman has presented with chronic left lower abdominal pain. At a first glance, key possibilities to consider include diverticulitis, renal colic, and perhaps inguinal or femoral herniation. However, the worsening of the pain with standing and walking suggests at a source of pain within the abdominal wall. The chronic and non-progressive nature is further supportive in this regard.\n\nExamination reveals tenderness over a single discrete location in the left lower abdomen when the abdominal muscles are tensed. Consideration of the relevant surface anatomy shows that this is over the left lateral border of the rectus muscle. This narrows down the differentials to either a lipoma, a tumor of the muscle, a Spigelian hernia, or pe"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.