When possible, the history should be obtained from a nonsedated patient.7 The initial differential diagnosis can be determined by a delineation of the pain 's location, radiation, and movement e.g., appendicitis-associated pain usually moves from the periumbilical area to the right lower quadrant of the abdomen ..Typical causes include AAA, bowel infarction due to bowel obstruction or acute mesenteric ischemia , bowel perforation due to appendicitis, peptic ulcer disease [PUD], diverticulitis , pancreatitis, or pelvic inflammatory disease PID ..
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