Abdominal Cases Pre-Lab DDx Worksheet Name_______________________________ Doctoring Group____________

Diagnosis IBS - Mixed Small Bowel Obstruction Crohn’s Colon Cancer Inguinal Hernia Functional
(incarcerated) Constipation
History Hx of surgeries
(adhesions) or hernias.
Crohn’s, UC, TB, cancer
No BMs (absence flatus
or stool in ampulla)
Bloating/distention
N,V
Abdominal pain-
intermittent/crampy
progressively worsening
IF possible
perforation/rupture –
fever, chills, dizziness

Physical Exam Tachycardia/hypotension

– end stage
Elevated BP due to pain
early
Distended abdomen
Empty rectum
Lack of bowel
sounds/sometimes
tinkling
Peri-umbilical most
common

Plan (6 points):
Medications: NPO
IV ondansetron
If suspect rupture/IV
antibiotics –
metronidazole, cipro
Labs: CBC, lytes, BUN, Creat,
LFTs
Imaging: CT abdomen None required Barium enema
Neuro Cases #1 Headache Pre-Lab DDx Worksheet Name_______________________________ Doctoring Group____________

US – maybe helpful
OMT: Pre-op: open ag
diaphragm, sacral
release
Patient NPO/NG tube to
Education: suction/IV fluids for
hydration/may need
surgery/prevention for
future – be more aware
of constipation, opioids,
other drugs that slow
peristalsis
Follow-Up: Admit to hospital
Consult surgery
Neuro Cases #1 Headache Pre-Lab DDx Worksheet Name_______________________________ Doctoring Group____________

Diagnosis
History

Physical Exam

Plan (6 points):
Medications:

Labs:

Imaging:

OMT:

Patient Education:

Follow-Up: