GI: Abdominal Pain Flashcards
A patient presents with constant right upper quadrant pain provoked by eating a fatty meal
What is the most likely diagnosis?
Biliary colic - caused by a gallstone getting lodged in the bile duct
A patient presents with right upper quadrant pain and a fever. Inflammatory markers are raised and murphy’s sign positive.
What is the most likely diagnosis?
Acute cholecystitis- inflammation of the gallbladder secondary to impacted gallstones
A patient presents with right upper quadrant pain, fever and jaundice.
What is the most likely diagnosis?
Ascending cholangitis- a bacterial infection of the biliary tree
A patient presents with an acute onset of epigastric pain radiating to the back, nausea and vomiting. On examination there is epigastric tenderness, guarding and rigidity.
What is the most likely diagnosis?
Acute pancreatitis
A patient presents with a burning epigastric pain relieved by eating.
What is the most likely diagnosis?
Duodenal Ulcer
A patient presents with a burning epigastric pain made worse by eating.
What is the most likely diagnosis?
Gastric Ulcer
A patient presents with pain which initially began in the central abdomen but is now localised to RIF. The patient complains of anorexia and is pyrexial and tender in the RIF on examination.
What is the most likely diagnosis?
Appendicitis
A patient presents with colicky pain in the left lower quadrant accompanied by fever and bloody diarrhoea. CRP and WCC are raised.
What is the most likely diagnosis?
Acute diverticulitis
A patient presents with central colicky abdominal pain and vomiting. There has been no recent bowel movement and bowel sounds are tinkling on examination.
What is the most likely diagnosis?
Bowel obstruction
A patient presents with severe, intermittent flank pain radiating to the groin. The patient is restless and unable to sit still.
What is the most likely diagnosis?
Renal colic
A patient presents with central abdominal pain radiating to the back. The patient is hypotensive and tachycardic on examination.
What is the most likely diagnosis?
Ruptured AAA
A patient presents with central, cramping abdominal pain, diarrhoea and rectal bleeding. The patient has a metabolic acidosis on examination.
What is the most likely diagnosis?
Mesenteric ischaemia
Metabolic acidosis is due to dying tissue
A patient presents with a sudden onset of abdominal pain which is exacerbated by movement. Palpation reveals tenderness, guarding and rigidity.
What is the most likely diagnosis?
Peritonitis
Blood tests performed on a patient with abdominal pain show a serum amylase 5 times the normal level.
What diagnosis does this indicate?
Acute pancreatitis
How is acute pancreatitis diagnosed?
CT scan
