GP emergencies

Question 1

Acute abdomen:
- common causes
- Red flags (9)
- What to ask in history
- What examinations
- Pre-hospital care

Answer 1

causes: testic/ovarian torsion, ectopic preg, bowel obstruction, aaa, diverticulitis, gallstones

red flags: guarding, rebound tenderness, no bowel sounds, dehydration, malena/haematemesis, no passing of stools/wind

Question 2

Chest pain:
- common causes
- What investigations in primary care
- Pre-hospital management for ACS

Answer 2

causes: acs, pericarditis, gord, msk, pe, gallstones, aortic dissection

ix: obs, ecg

Question 3

Dyspnoea:
- causes
- Red flags
- When to admit
- Pre-hospital management

Answer 3

causes: MI, arrhythmia, hf, asthma, copd, pe, effusion, lung ca, anaemia, pneumonia

red flags: resp distress, hypotension, immunosuppression

Question 4

Unilateral weakness:
- causes

Answer 4

causes: stroke/tia, tumour brain, bells/ramsey, limes, otitis media