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Osce > Abdominal Pain > Flashcards

Abdominal Pain Flashcards

1
Q

Medical and surgical history

A

Previous bowel problems or investigations
Any surgery
Previous radiotherapy

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2
Q

Drug history

A

All drugs and allergies
Nsaids
Blood thinners
Steroids

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3
Q

Nausea, vomiting and abdominal distension

A 
How much vomit? 
How often 
What colour 
Haematemesis 
Relationship with food 
Swollen abdomen
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4
Q

Change in bowel habits

A 
Diarrhoea 
How often 
Blood 
Mucus 
Straining/ incomplete empytig 
Constipation
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5
Q

Anorexia and weight loss

A

Deliberate

Over what time

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6
Q

Dyspepsia

A

Indigestion

Over the counter antacids

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7
Q

Dysphagia

A

Solids or liquids
Sudden or gradual
Intermittent or progressive

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8
Q

Bloods or mucus pr

A

How much
Mixed? On toilet paper?
Fresh or dark

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9
Q

Urological symptoms

A

Frequency
Dysuria
Haematuria
Obstructin

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10
Q

Gynaecological

A

Discharge, bleeding, dyspareunia

Last menstrual period

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11
Q

Social history

A

Smoking
Alcohol
Infections sources

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12
Q

Family history

A

Ibd
Celiac disease
Peptic ulcer disease

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13
Q

Differential of umbilical pain

A 
Early appendicitis 
Intestinal obstruction 
Acute gastritis 
Peptic ulcer disease 
Acute pancreatitis 
Ruptured aortic aneurysm
Mesenteric adenitis 
Gastroenteritis 
Ibs 
Ibd 
Constipation 
Perforated varices
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14
Q

What are abdominal ultrasounds good for?

A

Gallstones
Abdominal collections
Abdominal aortic aneurysm

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15
Q

What are pelvic ultrasounds good for?

A

Ovarian/gynaecologial pathology

Appendicitis

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16
Q

What are abdominal xrays useful for?

A

Intestinal obstruction

17
Q

What are erect chest xrays used for?

A

Perforation
Lobe pneumonia
Subphrenic collection

18
Q

What is a CT scan used for?

A

Masses
Surgery for obstruction
CT KUB to look for renal tract stones

19
Q

What is a barium meal used for

A

Hiatus hernia, oesophageal spasm, achalasia

20
Q

What is endoscopy used for?

A

Upper GI bleed
Suspected peptic ulcerstion
Duodenal biopsies for celiac disease

21
Q

Differential for right Iliac fossa pain

A 
GI  - appendicitis 
Diverticulitis
IBD 
Obstruction 
Meckels diverticulitis 
Perforated viscera

Gynae-ruptured cyst
Torsion
Pelvic inflammatory disease
Ectopic pregnancy

Urinary - UTI
renal calculi

Osce (11 decks)

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