Abdominal Pain

Question 1

Ddx of RUQ/epigastric pain

Answer 1

1. Gallbladder
2. Hepatitis
3. Ulcer
4. Pancreatitis
5. Renal

Question 2

Ddx of LUQ/epigastric pain

Answer 2

1. Mono
2. Splenic sequestration/infarct
3. Other - LLL PNA, PE, MI

Question 3

Ddx of RLQ pain

Answer 3

1. Appendicitis
2. Ovarian
3. Testicular
4. Other - Crohn’s, renal, incarcerated hernia

Question 4

Ddx of LLQ pain

Answer 4

1. Diverticulitis
2. Proctitis/prostatitis
3. Ischemic colitis
4. Other - UC, testicular, renal

Question 5

Ddx of generalized abdominal pain

Answer 5

1. Mesenteric ischemia
2. AAA
3. Constipation
4. SBO
5. IBS
6. Colitis

Question 6

Ddx of pediatric abdominal pain

Answer 6

1. Intussusception
2. Midgut volvulus
3. Meckel diverticulum
4. Constipation
5. Incarcerated hernia

Question 7

Hx a/w gallbladder pain

Answer 7

• Abrupt
• Postprandial fatty meal
• Radiation to back or shoulder

Question 8

PE findings a/w gallbladder pain

Answer 8

• Murphy’s sign

- Fever

Question 9

Tests for gallbladder pain

Answer 9

• CBC
• LFTs
• Lipase
• US
• CT
• HIDA
• ERCP/MRCP

Question 10

Treatment of gallbladder

Answer 10

• Analgesics (MSO4?)
• Antiemetics
• Robinul (anticholinergic)
• Surgery (acute/elective)

Question 11

Hx a/w hepatitis

Answer 11

• Abrupt OR gradual

- Dull/constant

Question 12

PE findings a/w hepatitis

Answer 12

• Jaundice
• Hepatomegaly
• Splenomegaly