Chronic Abdominal Pain Flashcards
1
Q
Lower GI Causes
A
Diverticular Disease
Constipation
Malignancy
2
Q
Upper GI Causes
A
Gastritis Peptic Ulcer Hiatus Hernia Gastric Malignancy IBS Sub-acute bowel obstruction
3
Q
Hepatobiliary Causes
A
Gall stones
Chronic Pancreatitis
Liver Ca
4
Q
Metabolic Causes
A
Addison’s Disease
Prophyria
Lead poisoning
5
Q
Renal/Urinary Causes
A
Renal Stones
Recurrent UTI
Adult PKD
Bladder/renal malignancy
6
Q
Social Hx
A
Smoking
Occupation
Alcohol
Diet (fatty foods, gallstones)
7
Q
Gynae Causes
A
Endometriosis Fibroids PID Dysmenorrhoea Ovarian Cyst Pregnancy Ovarian/Endometrial Ca
8
Q
GUM Causes
A
STI
Epididymitis
Testicular Ca
9
Q
Other
A
Psychogenic Mesenteric Ischaemia Lower lobe pneumonia Referred hip joint pain Psoas Abscess
10
Q
Bedside
A
Urine Dip - haematuria
PT
11
Q
Bloods
A
FBC - low hb, WCC
UEs, CRP, LFTs, amylase
12
Q
Imaging
A
USS: renal/gynae pathology
CT Abdomen: Malignancy
13
Q
Special Tests
A
Gastroscopy/colonoscopy
ERCP gallstones, malignancy
14
Q
Systems Review
A
Change in Bowel habit? Urinary sx LMP, gynae hx, Fevers, temps? N+ V?
15
Q
Social Hx
A
Smoking (chron's) Alcohol Travel, IVDU, Sexual hx Occupation
16
Q
RED FLAGS
A
Weight loss
Jaundice
Fatigue
Bleeding
17
Q
Drug Hx
A
Warfarin/NOAC
NSAIDS
Opiates/painkillers = constipation
