How is mesenteric ischemia and renal colic on PE of acute abdomen?

► During physical exam, if patient complains of severe abdominal pain but no tenderness was detected (severe abdominal pain out of proportion of physical exam) ? think of mesenteric ischemia ► Renal colic: - Renal colic + calculus can cause ileus, pain, distension. - Renal colic causes abdominal contraction on its side, so only one side and not bilateral. So renal colic of left side get renal contraction at left side. - Pain irradiates in renal colic, it starts in dorsal region and radiate to genital organs (testes)