Abdominal Pain

Question 1

Pale child + severe colic + vomiting

Answer 1

intussusception

Question 2

intense pain + shocked + pale +/- back pain

Answer 2

ruptured AAA

Question 3

anxiety/ prostration + intense central pain + profuse vomiting +/- bloody diarrhoea

Answer 3

mesenteric arterial occlusion

Question 4

Localised RIF pain + a/n/v + guarding

Answer 4

appendicitis

Question 5

colicky central abdominal pain + vomiting + distension

Answer 5

small bowel obstruction

Question 6

colicky pain + distension +/- vomiting

Answer 6

large bowel obstruction

Question 7

sudden severe pain + anxious/ still/ grey/ sweaty + deceptive improvement

Answer 7

perforated peptic ulcer

Question 8

intense pain (loin to groin) + microscopic haematuria

Answer 8

ureteric colic

Question 9

severe pain + vomiting + pain radiation

Answer 9

biliary colic

Question 10

severe pain + nausea and vomiting + relative lack of abdominal signs

Answer 10

acute pancreatitis

Question 11

acute pain + left sided radiation + fever

Answer 11

acute diverticulitis