Pain

Question 1

What are the hepatobiliary differentials for right hypochondrium pain?

Answer 1

Acute ascending cholangitis.
Primary sclerosing cholangitis.
Hepatitis.
Hepatic abscess.
Hepatomegaly due to congestive heart failure.
Gallstones.

Question 2

What are the MSK differentials for right hypochondrium pain?

Answer 2

Broken rib.
Bruising.
Muscular pain.

Question 3

What are the CVS differentials for right hypochondrium pain?

Answer 3

MI.

Budd-Chiari syndrome (occlusion of the hepatic vein leading to RUQ pain, ascites, hepatomegaly).

Question 4

What are the GI differentials for right hypochondrium pain?

Answer 4

Anything affecting the HEPATIC FLEXURE:

• Diverticular disease
• Crohn’s disease
• Ischaemia

Question 5

What are the respiratory differentials for right hypochondrium pain?

Answer 5

PE.
Pneumothorax.
Basal lobe pneumonia.

Question 6

What are the gynae differentials for right hypochondrium pain?

Answer 6

Fitz-hugh-curtis syndrome.

Question 7

What are the CVS differentials for epigastric pain?

Answer 7

Ruptured AAA.

MI.

Question 8

What are the GI differentials for epigastric pain?

Answer 8

GORD.
Peptic ulcer.
Gastritis.
Oesophagitis. 
Ruptured oesophagus.

Question 9

What are the hepatobiliary differentials for epigastric pain?

Answer 9

Pancreatitis.

Question 10

What are the haematological differentials for epigastric pain?

Answer 10

Splenomegaly or splenic rupture.

Question 11

What are the haematological differentials for left hypochondrium pain?

Answer 11

Splenomegaly or splenic rupture.

Question 12

What are the GI differentials for left hypochondrium pain?

Answer 12

GORD.
Peptic ulcer.
Gastritis.

Question 13

What are the respiratory differentials for left hypochondrium pain?

Answer 13

PE.
Pneumothorax.
Basal lobe pneumonia.

Question 14

What are the urological/renal differentials for right flank pain?

Answer 14

UTI.
Pyelonephritis.
Stones.
Hydronephrosis.

Question 15

What are the GI differentials for umbilical pain?

Answer 15

Early appendicitis.
Intestinal obstruction.
Gastroenteritis.

Question 16

What are the CVS differentials for umbilical pain?

Answer 16

Ruptured AAA.

Question 17

What are the hepatobiliary differentials for umbilical pain?

Answer 17

Pancreatitis.

Question 18

What are the urological/renal differentials for left flank pain?

Answer 18

UTI.
Pyelonephritis.
Stones.
Hydronephrosis.

Question 19

What are the GI differentials for right iliac fossa pain?

Answer 19

Appendicitis.
Bowel perforation.
Strangulated hernia.
Crohn’s disease.
Meckel’s diverticulum. 
Caecal tumours.
Mesenteric adenitis.

Question 20

What are the gynae differentials for right iliac fossa pain?

Answer 20

Ectopic pregnancy.
Ovarian torsion.
Salpingitis.
Ovarian cyst.

Question 21

What are the GI differentials for hypogastric pain?

Answer 21

Diverticulitis.

Question 22

What are the urological/renal differentials for hypogastric pain?

Answer 22

UTI.
Stones.
Acute urinary retention.
Bladder cancers.

Question 23

What are the gynae differentials for hypogastric pain?

Answer 23

Ectopic pregnancy.
Ovarian torsion.
PID. 
Ovarian cyst.
Uterine perforation from coil.

Question 24

What are the gynae differentials for left iliac fossa pain?

Answer 24

Ectopic pregnancy.
Ovarian torsion.
Ovarian cysts.

Question 25

What are the GI differentials for left iliac fossa pain?

Answer 25

Diverticulitis.
Malignancies.
Bowel perforation.
Strangulated hernia.