Presenting Complaints

Question 1

RUQ pain + no fever

normal inflam markers

Answer 1

biliary colic

Question 2

RUQ pain + fever
inflam markers are raised
+ve murphy’s sign

Answer 2

acute cholecystitis

Question 3

RUQ Pain
Fever/rigors
Jaundice

Answer 3

acute cholangitis

Question 4

severe epigastric pain radiating to back

Answer 4

acute pancreatitis

Question 5

epigastric pain
history of NSAID use or alcohol
upper GI bleed symptoms
malaena or haematemesis

Answer 5

Peptic ulcer disease

Question 6

duodenal or gastric ulcers more common?

Answer 6

duodenal

Question 7

LLQ pain + fever
raised inflam markers
bloody diarrrhoea sometimes

Answer 7

acute diverticulitis

Question 8

not opened bowels recentyl
general abdo pain
tinkling BS

Answer 8

bowel obstruction

Question 9

RIF pain
anorexia
tachycardia and low grade pyrexia

Answer 9

Acute appendicitis

Question 10

loin to groin pain
restless patient
internittent pain but severe in nature
some haematuria

Answer 10

renal colic

Question 11

loin pain
fever and rigors
vomiting

Answer 11

acute pyelonephritis

Question 12

men with suprapubic pain

Hx of BPH

Answer 12

urinary retention

Question 13

RIF or LIF pain
vaginal bleeding
Hx of amenorrhoea for 6-9 weeks

Answer 13

ectopic pregnancy

Question 14

epigastric pain radiating to back

may be shocked - hypotensvie and tachycardic

Answer 14

Ruptured AAA

Question 15

hx of AF 
Abdo pain 
Rectal bleeding 
Diarrhoea 
ABG shows: metabolic acidosis

Answer 15

Mesenteric ischaemia

Question 16

gradual onset obstructive jaundice without a palpable gallbladder.

Answer 16

cholangiocarcinoma

Non-palpable gallbladder indicates obstruction to biliary flow above the level of common bile duct which rules out pancreatic head tumours