Approach to abdominal pain Flashcards
1
Q
What is the probability diagnosis of acute abdominal pain
A
Acute gastroenteritis
Acute appendicitis
Dysmenorrhoea/ Mittelschmerz
Irritable bowel syndrome
2
Q
What serious disorders can present with acute abdominal pain
A
Cardiovascular (Triple A, Mesenteric ischaemia) Neoplastic Infectious Pancreatitis Ectopic pregnancy Bowel obstruction Perforated viscus
3
Q
What diagnoses are often missed in acute abdominal pain
A
Acute appendicitis Myofascial tear Pulmonary causes (PE, pneumonia) Faecal impaction in the elderly Herpes zoster Rarities- Addisons, Lead poisonining, haemchromotosis, porphyria, haemoglobinuria
4
Q
What are Murtagh’s Seven Masquarades
A
Depression Diabetes Drugs Anaemia Thyroid UTI Spinal Dysfunction
5
Q
What is your probability diagnosis in recurrent/chronic abdominal pain
A
Irritable bowel syndrome
Dysmenorrhoea/ Mittelschmerz
Peptic ulcer/gastritis
6
Q
What serious disorders should not be missed in recurrent abdominal pain
A
Cardiovascular (Mesenteric artery ischaemia, AAA)
Neoplastic (stomach, bowel, ovarian, pancreas)
Infections (Hepatitis, recurrent PID)
7
Q
What is often missed in recurrent abdominal pain
A
Adhesions Appendicitis Food Allergies Lactase deficiency Constipations Chronic pancreatitis Crohn's disease Endometeriosis Diverticulitis
8
Q
What are the rare causes of recurrent abdominal pain
A
Tropical infections (Strongyloides, Meliodosis, Hyatids) Uraemia Lead Poisoning Crohn's disease Porphyia Sickle cell anemia Hypercalcemia Addison's disease
