Abdominal pain

Question 1

Peri-umbilical pain that moves to RIF

Answer 1

Appendicitis

Question 2

Intermittent RUQ pain exacerbated by fatty food

Answer 2

Biliary colic

Question 3

Continuous RUQ pain

Answer 3

Cholecystitis

Question 4

Jaundice and RUQ pain

Answer 4

Stones in common bile duct

Question 5

Fever + jaundice + RUQ pain

Answer 5

Cholangitis

Question 6

Severe epigastric pain radiating through to back, relieved by sitting forwards, vomiting

Answer 6

Pancreatitis

Question 7

Epigastric pain made worse/better by eating

Answer 7

Gastric/duodenal ulcer

Question 8

Vomiting + abdo pain + lack of bowel movements

Answer 8

? Bowel obstruction

Question 9

Gynae causes of abdo pain (4)

Answer 9

PID/salpingitis
Ectopic pregnancy
Adnexal torsion
Endometriosis

Question 10

Urological causes of abdo pain (3)

Answer 10

UTI/cystitis
Renal colic
Pyelonephritis

Question 11

Non-abdominal causes of abdominal pain (3)

Answer 11

Atypical MI
Pneumonia
DKA

Question 12

Vascular cause of abdo pain + shock

Answer 12

Ruptured AAA

Question 13

LIF pain + pyrexia, old patient

Answer 13

Diverticulitis

Question 14

Possible investigations in abdominal pain? (8)

Answer 14

FBC and CRP
Pregnancy test
Dipstick urinalysis
USS liver, pelvis
Glucose and ketones
CT KUB
Erect CXR
AXR

Question 15

Acute abdomen- initial conservative management? (4)

Answer 15

Oxygen as required
IV Fluids
Pain relief + anti-emetic
Keep NBM, consider NG tube