pt has acute abdo pain with these extra symptoms/features, what is likely diagnosis? Flashcards

1
Q

gallstone lodged in the bile duct

pain worse after eating fatty meal

no fever and inflammatory markers are normal

RUQ pain

A

Biliary colic

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2
Q

Pain is very severe.

Tender to touch.

low-grade fever

pain in Epigastrium, sometimes radiating through to the back

A

Acute pancreatitis

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3
Q

NSAID user.
haematemesis.
pain worse when eating.

pain in Epigastrium

A

Peptic Ulcer Disease

gastric

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4
Q

Vomiting.

Not opened bowels recently

‘Tinkling’ bowel sounds

history of operation.

central pain.

give diagnosis + explain why surgeries cause this problem.

A

Intestinal obstruction

adhesions

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5
Q

Severe pain.
Intermittent pain.
pt is restless
haematuria present.

Loin pain radiating to groin.

A

Renal Colic

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6
Q

Caused by obstruction to the bladder outflow.

Much more common in men, who often have a history of benign prostatic hyperplasia.

suprapubic pain.

A

Urinary retention

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7
Q

pain.
amenorrhoea for 8 weeks.
a little bit of dark brown vaginal bleeding.
Right or left iliac fossa pain.

A

Ectopic pregnancy

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8
Q

pt has atrial fibrillation.

Diarrhoea + rectal bleeding

metabolic acidosis present.

Central abdominal pain

A

Mesenteric ischaemia

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9
Q

Murphy’s sign positive

Fever and raised inflammatory markers

Right upper quadrant pain

A

Acute cholecystitis

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10
Q

Pain initially in the central abdomen before localising to the right iliac fossa (RIF).

Tachycardia, low-grade pyrexia, tenderness in RIF.

Rovsing’s sign

A

Appendicitis

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11
Q

Colicky pain in the LLQ.

Diarrhoea, sometimes bloody.

Fever, raised inflammatory markers and white cells

A

Acute diverticulitis

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12
Q

bacterial infection of the biliary tree

RUQ pain.

Charcot’s triad present.

What is likely diagnosis.
What is charcot’s triad?

A

Ascending cholangitis

right upper quadrant pain, fever and jaundice

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13
Q

Fever,
rigors,
common as is vomiting.

Loin pain

A

Acute pyelonephritis

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14
Q

pt collapsed, is in shock (hypotension, tachycardic).

has peripheral vascular disease & a stroke in the past.

Central abdominal pain radiating to the back

A

Ruptured abdominal aortic aneurysm

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