GI

Question 1

Abd pain, tenderness, tachycardia, hypotension, shock, splenomegaly.

Answer 1

Ruptured Spleen

Question 2

Sudden, “explosive” onset of severe mid/lower abd pain. N/V. Fever,

Answer 2

Perfed bowel

Question 3

Fever, abd pain, AMS.

Dx: Paracentesis

Answer 3

Peritonitis

Question 4

N/V/D(early), constipation (late), ABD distention

If strangulated–> sugary. Partial/simple may resolve

Answer 4

Bowel obstruction

Question 5

Constipation, hematochezia, weight loss

Answer 5

Colon CA

Question 6

Often asymptotic.
ABD pain in absence of PE findings. fluctuating bowel habits. LLQ pain.
Dx: Barium enema/CT

Answer 6

Diverticular Dz