Acute Abdomen Flashcards
What differential diagnoses should you consider for generalised abdominal pain?
Peritonitis
Rupture AAA
Intestinal obstruction
Ischaemic colitis
What differential diagnoses should you consider for RUQ pain?
Biliary colic
Acute cholecystitis
Acute cholangitis
What differential diagnoses should you consider for epigastric pain?
Acute gastritis
Peptic ulcer disease
Pancreatitis
Ruptured AAA
What differential diagnoses should you consider for central abdominal pain?
Ruptured AAA
Intestinal obstruction
Ischaemic colitis
Early stages of appendicitis
What differential diagnoses should you consider for RIF pain?
Acute appendicitis
Ectopic pregnancy
Ruptured ovarian cyst
Ovarian torsion
Meckel’s diverticulitis
What differential diagnoses should you consider for LIF pain?
Diverticulitis
Ectopic pregnancy
Ruptured ovarian cyst
Ovarian torsion
What differential diagnoses should you consider for suprapubic pain?
LUTI
Acute urinary retention
PID
Prostatitis
What differential diagnoses should you consider for loin to groin pain?
Renal colic
Ruptured AAA
Pyelonephritis
What differential diagnoses should you consider for testicular pain?
Testicular torsion
Epididymo-orchitis
What is peritonitis?
Inflammation of the peritoneum, the lining of the abdomen
What are the signs of peritonitis?
Guarding
Rigidity
Rebound tenderness
Positive coughing test
Percussion tenderness
What causes localised peritonitis?
Underlying organ inflammation
What causes generalised peritonitis?
Perforation of an abdominal organ, releases contents into the peritoneal cavity causing generalised inflammation of the peritoneum
What is spontaneous bacterial peritonitis associated with?
Spontaneous infection of ascites in patients with liver disease
