abdominal pain

Question 1

epigastric pain relieved by eating

Answer 1

duodenal ulcers

Question 2

epigastric pain worsened by eating.

Answer 2

gastric ulcers

Question 3

pain initial in the central abdomen before localising the left iliac fossa.
anorexia is common.
tachycardia, low-grade pyrexia, tenderness in RIF when palpating.

Answer 3

appendicitis

Question 4

usually due to gallstones or alcohol.
severe epigastric pain.
vomiting is common. examination may reveal tenderness, ileus and low-grade fever.

Answer 4

acute pancreatitis

Question 5

pain in the RUQ radiating to the back and intrascapulla region, may be following a fatty meal.
obstrcutive jaundice may cause pale stools and dark urine. it is sometimes taught that patients are female, forties and fat.

Answer 5

biliary colic

Question 6

history of gallstones.
continuous RUQ pain.
fever, raised inflammatory markers and white cells.

Answer 6

acute cholycitis

Question 7

colicky pain typically in the LLQ.

fever, raised inflammatory markers and white cells.

Answer 7

deviticulitis

Question 8

severe central abdominal pain radiating to the back, catastrophic presentation. history of cardiovascular disease.

Answer 8

abdominal aortic aneurysm

Question 9

history of malignancy
vomiting
not opened bowels recently
tinkling bowel sounds

Answer 9

intestinal obstruction