acute abdomen

Question 1

name the differentials for generalised abdominal pain

Answer 1

peritonitis
ruptured abdominal aortic aneurysm
intestinal obstruction
ischaemic colitis

Question 2

name the 3 differentials for right upper quadrant pain

Answer 2

1. biliary colic
2. acute cholecystitis
3. acute cholangitis

Question 3

name the differentials of epigastric pain

Answer 3

1. acute gastritis
2. peptic ulcer disease
3. pancreatitis
4. ruptured AAA

Question 4

name the differentials of central abdominal pain

Answer 4

• ruptured AAA
• intestinal obstruction
• early stages of appendicitis

Question 5

right iliac fossa pain

Answer 5

appendicitis
meckels diverticulum
ovarian cyst rupture
ectopic pregnancy
ovarian torsion

Question 6

KEY differential of left iliac fossa pain

Answer 6

diverticulitis

Question 7

suprapubic pain

Answer 7

Lower UTI

pelvic inflammatory disease

Question 8

Loin to groin pain

Answer 8

renal colic: kidney stones
ruptured AAA
pyelonephritis

Question 9

Peritonitis is…

Answer 9

inflammation of the peritoneum

Question 10

signs of peritonitis

Answer 10

guarding
rigidity
rebound tenderness
pain upon coughing

Question 11

what are the 3 types of peritonitis?

Answer 11

localised, generalised and spontaneous bacterial peritonitis

Question 12

localised peritonitis

Answer 12

underlying organ inflammation e.g. appendicitis

Question 13

generalised peritonitis

Answer 13

perforation of duodenal ulcer or ruptured organ e.g. appendix

Question 14

spontaneous bacterial peritonitis

Answer 14

ascites in those with liver disease