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okay good afternoon were going to talk about lower abdominal disorders and this is kind of a fun topic because there is such a wide differential diagnosis in fact we have a long list here which is just to make the point not to memorize the list that there are so many things that could be happening when someone presents with lower abdominal pain depends on the age depends on the gender so many things that could be going on its really easy to make mistakes and the answer in this area is not to ct everybody which is often sort of the default and we will talk about what its really important to obtain a ct scan for some diagnoses but well also talk about when its more appropriate to obtain other imaging or no imaging in many circumstances the most common diagnosis that we make at the end of this patient encounter where we often make a mistake is by diagnosing them with gastroenteritis now do people come in with gastroenteritis absolutely sometimes that is the correct diagnosis but bef