This document classifies various medical conditions by severity and associated mortality rate. Mild conditions like appendicitis and certain ulcers have under 10% mortality. Moderate conditions such as some diverticulitis, bowel perforations and gallbladder infections have under 20% mortality. Severe conditions including some large bowel perforations, small bowel injuries, pancreatitis, postoperative complications and refractory shock have between 20-80% mortality. Physical exam findings associated with more severe conditions include tenderness, rebound tenderness and guarding.

10. Severity Cause Mortality
Rate
Mild Appendicitis
Perforated gastroduodenal ulcers
Acute salpingitis
<10%
Moderate Diverticulitis (localized perforations)
Nonvascular small bowel perforation
Gangrenous cholecystitis
Multiple trauma
<20%
Severe Large bowel perforations
Ischemic small bowel injuries
Acute necrotizing pancreatitis
Postoperative complications
20-80%

19. •REFRACTORY SHOCK.

20. • Tenderness
• Rebound tenderness
• Guarding or rigidity