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2b > History Differentials > Flashcards

History Differentials Flashcards

1
Q

Abdo regions: What causes pain in R hypocondrium?

A
  • Biliary colic, ascending cholangitis, cholecystitis
  • Liver: Hepatitis, liver abscess, hepatocellular carcinoma
  • Lungs: Pneumonia
  • General: IBS
  • Trauma: Rib fracture
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2
Q

Abdo regions: What causes pain in epigastrium?

A
  • Pancreatitis
  • Stomach: Gastritis, peptic ulcer
  • General: IBS, coeliac, food poisoning
  • Cardiac: MI
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3
Q

Abdo regions: What causes pain in L hypochondrium?

A

Spleen: Rupture, splenomegaly
Lungs: Pneumonia
Stomach: Gastritis
General: IBS
Trauma: Rib fracture

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4
Q

Abdo regions: What causes R flank pain?

A
  • Bowel obstruction, ischaemic bowel
  • General: IBS, constipation, cancer, MSK
  • Kidneys: renal colic, pyelonephritis
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5
Q

Abdo regions: What causes umbilicum pain?

A
  • Appendicitis
  • Bowel obstruction, ischaemic bowel
  • General: IBS, constipation, hernia, coeliac, food poisoning
  • IBD
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6
Q

Abdo regions: What causes L flank pain?

A
  • Bowel obstruction, ischaemic bowel
  • General: IBS, constipation, cancer, MSK
  • Kidneys: Renal colic, pyelonephritis
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7
Q

Abdo regions: What causes R iliac fossa pain?

A
  • Appendicitis
  • Bowel obstruction
  • General: IBS, hernia, cancer
  • IBD
  • Pelvic inflammatory disease
  • (Periods, pregnancy, ovulation pain, labour)
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8
Q

Abdo regions: What causes hypogastrium/suprapubic pain?

A
  • Bowel obstruction
  • General: IBS, cancer
  • IBD
  • Pelvic inflammatory disease
  • Urinary: UTI, cystitis
  • Period, pregnancy, ovulation pain, labour, miscarriage)
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9
Q

Abdo regions: What causes left iliac fossa pain?

A
  • Bowel obstruction
  • Diverticulitis
  • General: IBS, hernia, cancer
  • IBD
  • Pelvic inflammatory disease
  • (Periods, pregnancy, ovulation pain, labour, miscarriage)
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10
Q

Abdo regions: Where would appendicitis pain be felt?

A
  • Umbilicum
  • RIF
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11
Q

Abdo regions: Where would bowel obstruction pain be felt?

A

Lower 6
- RF, Umb, LF, RIF, Hypogas, LIF

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12
Q

Abdo regions: Where would IBS symptoms be felt?

A

Any of the 9 !

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13
Q

Abdo regions: Where would IBD symptoms be felt?

A

Umb + lower 3
(Umb, RIF, Hypogas, LIF)

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14
Q

Abdo regions: Where would pneumonia symptoms be felt?

A

R + L hypochondrium

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15
Q

Abdo regions: Where would hepatitis pain be felt?

A

R hypochondrium

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16
Q

Abdo regions: Where would pancreatitis pain be felt?

A

Epigastrium

17
Q

Where would gastritis pain be felt?

A

Epigastrium and L hypchondrium

18
Q

Abdo regions: What causes generalised abdo pain

A
  • Trauma
  • Peritonitis
  • Post op pain
19
Q

What are the sepsis 6?

A

Take 3:
- Blood cultures
- Lactate
- Urine output

Give 3
- IV fluids
- Oxy to maintain 94-98
- Empirical Abx

20
Q

Causes of ano-rectal PR bleed

A
  • Piles
  • Fissure
  • Fistula

2b (9 decks)

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