How is the differential diagnosis of transmissible abdominal pain?

  When a rib is fractured below the 7th rib, conductive abdominal pain can develop due to irritation of the intercostal nerve at the fracture site. So, how is conductive abdominal pain diagnosed? The following is the differential diagnosis of conductive abdominal pain: differential diagnosis of conductive abdominal pain: 1, paroxysmal abdominal pain: abdominal paroxysmal pain, accompanied by diarrhea and other circumstances, and the symptoms are not like dysentery. Such abdominal pain diarrhea symptoms, can also be called summer paroxysmal abdominal pain. Also common in intestinal cramps, is the most common case of acute abdominal pain in children.  2, acute abdominal pain: acute abdominal pain (abdominalpain) refers to the patient’s sudden abdominal pain, often caused by intra-abdominal or extra-abdominal organ disease, the former is called visceral abdominal pain, often paroxysmal and accompanied by nausea, vomiting and sweating and a series of related symptoms, abdominal pain by visceral nerve conduction; while the latter abdominal pain is transmitted by somatic nerves, so called somatic abdominal pain, often persistent. Mostly not accompanied by nausea and vomiting symptoms.  3, chronic abdominal pain: chronic abdominal pain is a kind of abdominal pain that starts slowly, has a longer duration, or is secondary to acute abdominal pain, and its localization is more accurate.  4, widespread and non-localized abdominal pain: abdominal pain, abdominal distension, colic, drill-top-like pain, hidden pain and burning pain are all in the category of abdominal pain, which is a common clinical symptom. According to the degree of urgency of the onset, it can be divided into acute abdominal pain and chronic abdominal pain. Chronic widespread and indolent abdominal pain: it is commonly associated with tuberculous peritonitis, intestinal adhesions, intestinal ascariasis and neurosis.  The diagnosis of rib fracture is mainly based on the history of injury, clinical manifestations and x-ray chest examination. The diagnosis of rib fracture is based on the history of injury, clinical presentation and X-ray chest examination. However, for rib cartilage fracture, “willow fracture”, fracture without misalignment, or mid-rib fracture, it is not easy to detect on chest X-ray because the ribs on both sides overlap each other. A rib fracture without combined injury is called a simple rib fracture.  In addition to combined pleural and pulmonary injuries and the resulting hemothorax or pneumothorax, they are often combined with other thoracic injuries or injuries outside the chest, which should be especially noted in the diagnosis. Rib fractures of the 1st or 2nd rib are often combined with fractures of the clavicle or scapula, and may be combined with injuries to intra-thoracic organs and large blood vessels, bronchial or tracheal ruptures, or heart contusions, as well as cranial injuries; rib fractures of the lower thorax may be combined with injuries to intra-abdominal organs, especially ruptures of the liver, spleen, and kidneys, and with fractures of the spine and pelvis.