Differentials for acute abdomen Flashcards
1
Q
Diffuse abdominal pain DD?
A
Acute pancreatitis Mesenteric ischemia Diabetic ketoacidosis Peritonitis Early appendicitis Sickle cell crisis Gastroenteritis Intestinal obstruction Typhoid fever
2
Q
Right or left upper quadrant pain DD?
A
Acute pancreatitis
Herpes zoster
Lower lobe pneumonia
Myocardial ischemia
3
Q
Left upper quadrant pain?
A
Gastritis Splenic disorder (abscess, rupture)
4
Q
Right upper quadrant pain?
A
Cholecystitis & biliary colic
Congestive hepatomegaly
Hepatitis
Perforated duodenal ulcer
5
Q
Right lower quadrant pain?
A
Appendicitis
Caecal diverticulitis
Meckels diverticulitis
Mesenteric adenitis
6
Q
Left lower quadrant pain?
A
Sigmoid diverticulitis
7
Q
Right or left lower quadrant pain?
A
Abdominal abscess Abdominal wall haematoma Cystitis Endometriosis Strangulated hernia IBD Pelvic inflammatory disease Renal stone Ruptured AAA Ruptured ectopic pregnancy Torsion of ovarian cyst or teste
8
Q
Pulsatile mass indicates?
A
AAA
9
Q
Rebound tenderness?
A
Appendicitis
10
Q
Absent bowel sounds?
A
Ileus
11
Q
Tinkling bowel sounds?
A
Obstruction
12
Q
Board like, rigid abdomen?
A
Peritonitis
13
Q
Peri-umbilical/flank bruising?
A
Pancreatitis
