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Year 3 - OSCE Abdo > Abdo pain > Flashcards

Abdo pain Flashcards

1
Q

What might cause RUQ?

A 
Hepatitis
Gallstones/Biliary colic
Acute cholecystitis
Acute cholangitis
Duodenal Ulcer
Right basal pneumonia
Appendicitis
Pyelonephritis
Congestive hepatomegaly
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2
Q

Causes of hepatitis

A

Viral
Autoimmune
Alcoholic

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3
Q

What are the symptoms of hepatitis?

A 
Nausea
Vomiting
Fever
weightloss
Jaundice
Ascites
Itchiness
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4
Q

When do you get biliary colic?

A

Worse after eating fatty foods

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5
Q

Risk factors for gallstones (6Fs)

A 
Female
Fat
Forty 
Family history 
Fertile 
Fair (Caucasian)
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6
Q

What is cholecystitis + what is the sign?

A

Cystic duct obstruction

Murphy’s sign

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7
Q

What is cholangitis

A

INFECTION of the cystic duct as well as the biliary tree

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8
Q

What is charcot’s triad?

A

RUQ pain
Fever
Jaundice

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9
Q

What is cholangitis and what signs does it present with?

A

INFECTION of the cystic duct as well as the biliary tree

Charcot’s triad
Reynold’s pentad

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10
Q

Left hypochondriac region pain can be due to?

A 
Aortic aneurysm 
Gastric ulcer
Perforated colon 
Ruptured spleen 
Left basal pneumonia 
Pyelonephritis
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11
Q

Reynold’s pentad

A

Mental confusion

Symptoms of septic shock (hYPOtension)

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12
Q

What can cause

A

Ischaemic bowel - acute (trauma) or chronic (intermittent gut claudication after eating, therefore you get weight loss)

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13
Q

Symptoms of ischaemic bowel

A

Fever
Nausea
Vomiting
Bloody diarrhoea

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14
Q

How would you describe an AAA?

A

Expansile

Pulsatile

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15
Q

What can cause generalised abdo pain?

A

Ischaemic bowel
Peritonitis
Gastroenteritis
DKA

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16
Q

How would someone with peritonitis appear?

A

Pt will be lying v still as movement causes extreme pain

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17
Q

What might you need to ask regarding gastroenteritis?

A

If anyone around them experienced the same

Travel hx

18
Q

How can you classify ischaemic bowel and what are these different types due to?

A

Acute (trauma) or chronic (intermittent gut claudication after eating, therefore you get weight loss)

19
Q

Epigastric pain can be caused by?

Give gastro causes

A 
Acute/chronic pancreatitis
Perforated peptic ulcer 
Gastroenteritis
Peptic ulcer disease
Biliary colic 
Acute cholecystitis
Ascending cholangitis 
Oesphagitis due to GORD
Incomplete bowel obstruction 
Gastric cnacer
Pancreatic cancer
20
Q

Give cardiac causes of epigastric pain

A

MI
Ruptured AAA
Mesenteric ischaemia

21
Q

Give respiratory causes of epigastric pain

A

Basal pneumoniae

22
Q

What signs are suggestive of pancreatic cancer?

A

Painless jaundice + palpable gall bladder

23
Q

What would very sudden onset pain suggest?

A

Perforated viscus (e.g. perforated duodenal ulcer)
Boerhaave’s perforation
Myocardial infarction

24
Q

Pain which develops maximal intensity over 10-20mins?

A

Acute pancreatitis, biliary colic

25
Q

Pain takes few hours to take peak intensity?

A

Cholecystitis, pneumonia

inflammatory causes

26
Q

Sharp burning pain?

A

Peptic ulcer disease

GORD

27
Q

Crampy pain

A

Gastroenteritis

28
Q

Deep dull pain

A

Pancreatitis

29
Q

Colicky

A

gallsones

Mesenteric ischaemia

30
Q

Radiation to back?

A

Pancreatitis
Leaky AAA
Peptic ulcers if perforation

31
Q

Shoulder tip radiation?

A

Pnemonia

Subphrenic abscess

32
Q

Radiation to neck/jaw/arm

A

cardiac pathology

33
Q

If pain is relieved with sitting forward

A

Acute pancreatitis

34
Q

Food

A

Dodenal ulcer pain is relieved with food but WORSENS gasric ulcer pain

35
Q

Fatty meals

A

Biliary colic

36
Q

Worsened by large meals

A

GORD

37
Q

Worse with exercise

A

Cardiac causes

38
Q

Self limiting

A

Biliary colic

????

39
Q

Very painful

A

MI
Acute pancreatitis
Perforated peptic ulcers
Meseneric ischaemia

40
Q

Associated symptoms?

A 
N+V+fever
Pain on inspiration 
Sweating & weakness
Jaundice
Cough 
Heartburn 
Bitter/metallic taste in mouth 
Weight loss or gain
41
Q

What would abdo pain plus chronic dry cough suggest?

A

GORD

Year 3 - OSCE Abdo (4 decks)

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