Exam

Question 1

RUQ diagnoses?

Answer 1

Question 2

RUQ organs?

Answer 2

Question 3

RUQ + fever?

Answer 3

infective

Question 4

RUQ + weight loss?

Answer 4

cancer

Question 5

RUQ + constipated + cant pass wind?

Answer 5

absolute constipation which is a surgical emergency.

Question 6

RUQ + steatorrhoea?

Answer 6

CBD obstructed

Question 7

RUQ + melaena?

Answer 7

blood entering bowel lumen maybe by bleeding ulcer

Question 8

RUQ + jaundice?

Answer 8

typical of diseases that block the common bile duct such as choledocholithiasis, ascending cholangitis, acute pancreatitis, pancreatic cancer or cholangiocarcinoma.

Question 9

RUQ + Cullens or Grey Turners?

Answer 9

severe pancreatitis.

Question 10

RUQ Murphys sign?

Answer 10

Palpate abdomen just below tip of ninth costal cartilage, apply pressure and ask patient to take a deep breath, if the gallbladder is tender (cholecystitis) they’ll stop breath.

Question 11

RUQ peritonitis?

Answer 11

the patient will lie still, have a rigid and tender abdomen and exhibit guarding, can suggest perforation of peptic ulcer or gallbladder.

Question 12

RUQ signs of small bowel obstruction?

Answer 12

distended abdomen and absent bowel sounds.