Abdominal pain

Question 1

Acute abdomen =

Answer 1

sever abdominal pain for less than 10 days

Question 2

Transpyloric plane lies at ___ level and splits + regions

Answer 2

L1

epigastric and umbilical

Question 3

board-like abdomen indicates:

Answer 3

general peritonitis

Question 4

For acute abdomen which analgesics?

Answer 4

IV morphine/paracetamol

and anti-emetic

Question 5

Erythema abigne =

indicates

Answer 5

“toasted skin” on abdomen
chronic pancreatitis
hypothyroidism
lymphoedema

Question 6

Investigations for acute abdomen =

Answer 6

Bloods (AMYLASE)
ABG
CXR - firstline
AXR (overused)
CT - gold standard
US
MRI - only for preg appendices

Question 7

In acute abdomen must always exclude __+__ first as life threatening if missed

Answer 7

AAA and pancreatitis

Question 8

People with __/__ causes of acute abdomen do NOT go immediately to theatre =

Answer 8

diabetic ketoacidosis

pancreatitis

Question 9

People with acute abdomen diagnosed with __/___ go immediately to theatre

Answer 9

faecal peritonitis

ischaemic gut

Question 10

Treatment for colonic obstruction =

Answer 10

stent / operate

Question 11

Treatment for colonic volvulus =

Answer 11

decompress with rigid sigmoidoscope

Question 12

Hinchey classifications of acute diverticulitis

I->IV

Answer 12

I = paracolic abscess
II = pelvic abscess
III= purulent peritonitis
IV = faeculent peritonitis

Question 13

Treatment for perforated colon

Answer 13

surgery

remove colon

Question 14

Treatment for acute diverticulitis

Answer 14

antibiotics if not perforated

if perforated = Hartmann’s =remove sigmoid, leave rectum have colostomy