DDx

Question 1

DDx for chest pain

Answer 1

1. Cardiovascular (acute MI, pericarditis, aortic dissection, aortic rupture) 2. MSK (costochondral syndrome, cervical radiculitis) 3. GI (GERD, peptic ulcer disease, esophageal spasm, biliary colic) 4. Pulmonary (pulmonary thromboembolism, pneumothorax, pneumonia)

Question 2

DDx for severe back and abdominal pain

Answer 2

1) CV (aortic dissection, aortic rupture) 2) GI (ruptured diverticulitis, mesenteric infraction, IBD, acute pancreatitis, peptic ulcer with perforation, strangulated hernia) 3) GU (renal colic (kidney stones))

Question 3

Dyspepsia

Answer 3

Gastric/duodenal ulcer gastritis cholecystitis acid reflux esophagitis pancreatitis Gastric cancer non-GI malignancy

Question 4

Jaundice

Answer 4

• Prehepatic
  
  • increased destruction of RBCs
• hepatic
  
  • cholestasis
  • liver failure
  • hepatitis
  • congenital problem in bilirubin metabolism
• post-hepatic
  
  • obstruction (pancreatic tumour, cholelithiasis…)

Question 5

RLQ pain in an adult male

Answer 5

Question 6

Splenomegaly