Gastrointestinal: presentations

Question 1

Abdominal pain: where
- RUQ, epigastric, LUQ causes?

Answer 1

Question 2

GIT symtpoms list?

Answer 2

Pain
N&V
Change in bowel habit - diarrhoea, constipation/BNO, bleeding
Abdominal distension
Jaundice
Fever, fatigue, night sweats, unexplained weight loss.

Question 3

Abdominal pain: where
- Epigastric, flank pain causes?

Answer 3

Question 4

Abdominal pain: where
- RLQ, suprapubic, LLQ pain causes?

Answer 4

Question 5

Abdominal pain: when
- Acute causes? (Plus 3 do not miss causes)

Answer 5

Infection
Inflammation
Obstructions
Perforation
Vascular (AAA*, ischemic colitis)
Ectopic pregnancy**

Question 6

Abdominal pain:
- Chronic causes?

Answer 6

Chronic pancreatitis
IBS, IBD
Constipation
Cancer
Endometriosis

Question 7

Abdominal pain:
- Aggravating/alleviating factors to ask?

Answer 7

• itis questions: does it hurt to touch? Does moving make it hurt? Would going over speed humps on the road make it hurt?
• Position
• Eating (does it make it worse)
• Pain relief

Question 8

Nausea and vomiting
- Questions to ask

Answer 8

• Timeline + quantity (how often, how much)