Differential Diagnosis for Left Abdomen Pain Post Fall with Xarelto
Single Most Likely Diagnosis
- Musculoskeletal injury: Given the history of a fall, the most likely cause of left abdomen pain is a musculoskeletal injury, such as a bruise or strain of the abdominal wall muscles. The use of Xarelto, an anticoagulant, increases the risk of bleeding, which could exacerbate the injury.
Other Likely Diagnoses
- Hematoma: The use of Xarelto increases the risk of bleeding, and a fall could cause a hematoma in the abdominal wall or surrounding tissues.
- Rib fracture: A fall could result in a rib fracture, which could cause referred pain to the left abdomen.
- Spleen injury: Although less likely, a fall could cause a spleen injury, such as a laceration or rupture, which would be a concern given the patient's anticoagulation status.
Do Not Miss Diagnoses
- Spleen rupture: A ruptured spleen is a life-threatening condition that requires immediate attention. The patient's use of Xarelto increases the risk of bleeding, making prompt diagnosis and treatment crucial.
- Intra-abdominal bleeding: Any intra-abdominal bleeding, such as from a ruptured spleen or liver laceration, is a life-threatening condition that requires immediate attention.
- Kidney injury: A fall could cause a kidney injury, such as a laceration or rupture, which would be a concern given the patient's anticoagulation status.
Rare Diagnoses
- Intestinal injury: Although rare, a fall could cause an intestinal injury, such as a perforation or laceration, which would require prompt surgical attention.
- Adrenal gland injury: A fall could cause an adrenal gland injury, which is rare but could have significant consequences if not recognized and treated promptly.