Scenario 10 - epigastric pain

Question 1

Recall 5 possible differentials for epigastric pain

Answer 1

Stomach: peptic ulcers, GORD, gastritis, malignancy
Pancreas: acute pancreatitis

Question 2

Where is gastritis pain typically felt?

Answer 2

Epigastric and retrosternally

Question 3

What is faecal elastase a measure of and how is it measured?

Answer 3

It reflects pancreatic exocrine function

It is measured in a stool sample

Question 4

Give 2 examples of conditions in which faecal elastase is raised

Answer 4

1. Chronic pancreatitis

2. Cystic fibrosis

Question 5

What is a common differential to consider if a child has abdominal pain?

Answer 5

Mesenteric adenitis

Question 6

Recall 3 medical causes of generalised abdominal pain

Answer 6

DKA
Addisson’s
Hypercalcaemia

Question 7

Recall 4 surgical causes of generalised abdominal pain

Answer 7

IBD
Mesenteric ischaemia
Peritonitis
Gastroenteritis

Question 8

Recall 4 gynaecological differentials for abdominal pain

Answer 8

Ruptured ovarian cyst
Ovarian twist
Ectopic pregnancy
Endometriosis