Acute abdomen Flashcards
1
Q
What pathologies cause referred pain to the right scapula?
A
- Gallbladder disease
- Liver disease
- Irritation of the right hemidiaphragm (right lower lobe pneumonia)
2
Q
What pathologies cause referred pain to the left scapula?
A
- Cardiac disease
- Gastric disease
- Pancreatic disease
- Splenic disease
- Irritation of left hemidiaphragm
3
Q
What pathologies cause referred pain the the groin?
A
- Kidney stones
- Ureteral disease
4
Q
What do you ask women with an acute abdomen?
A
- Date of last menstrual period,
- Contraception used
Current pregnancy status
5
Q
What causes generalised abdominal pain?
A
- Perforated viscous
- Acute pancreatitis
- DKA
6
Q
What causes RUQ pain?
A
- Gallbladder disease (cholecystitis, cholangitis)
- Duodenal ulcer
- Acute pancreatitis
- Pneumonia
7
Q
What causes LUQ pain?
A
- Acute pancreatitis
- Spontaneous splenic rupture
- Pneumonia
8
Q
What causes right iliac fossa pain?
A
- Acute appendicitis
- Perforated duodenal ulcer
- Crohn’s disease
- Diverticulitis (rare)
- Constipation
- Renal colic
- Ectopic pregnancy, ruptured ovarian cyst, salpingitis
9
Q
What causes left iliac fossa pain?
A
- Diverticulitis
- Constipation
- Ectopic pregnancy, ruptured ovarian cyst, salpingitis
10
Q
What causes epigastric pain?
A
- Peptic or duodenal ulcer
- Acute pancreatitis
11
Q
What causes central pain?
A
- Early appendicitis
- Small bowel obstruction
- Acute pancreatitis
- Mesenteric thrombosis
12
Q
What causes suprapubic pain?
A
- Acute urinary retention
- UTI
- Ectopic pregnancy
13
Q
What causes colicky pain?
A
o Bowel obstruction
o Biliary colic
o Renal colic
14
Q
What investigations do you do for an acute abdomen?
A
- FBC
- U+Es, LFTs
- CRP
- Serum amylase
- Serum glucose
- ABG
- Lactate
- Pregnancy test in women
- Urine dipstick
- Erect CXR
- Supine abdominal film
