Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged lady has presented with chronic lower abdominal pain - a clinical entity with a differential diagnosis encompassing the urinary, gastrointestinal and reproductive systems, as well as the abdominal wall.\n\nConsidering her age and the location of the pain, intermittent diverticulitis is a possibility, as is renal colic. In addition, the possibility of an inguinal or femoral hernia should not be neglected.\n\nHowever, the worsening of the pain upon standing and walking provides an important clue here - this is suggestive of a pain source within the abdominal wall. The chronic, non progressive nature of the pain is further supportive of this.\n\nHer examination provides an additional clue - tenderness over a single discrete location"}]}

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