The Acute Abdomen Flashcards
0
Q
Ddx for RUQ pain
A
Acute cholecystitis Duodenal ulcer Hepatitis Congestive hepatomegaly Pyelonephritis Appendicitis (R) Pneumonia
1
Q
Ddx for epigastric pain
A
Pancreatitis Myocardial infarction Peptic ulcer Acute cholecystitis Perforated oesophagus
2
Q
Ddx for RLQ pain
A
Appendicitis Salpingitis Tubo-ovarian abscess Ruptured ectopic pregnancy Strangulated hernia Mesenteric adenitis Meckel's diverticulitis Crohn's disease Perforated caecum Psoas abscess
3
Q
Ddx for LLQ pain
A
Sigmoid diverticulitis Salpingitis Tubo-ovarian abscess Ruptured ectopic pregnancy Strangulated hernia Perforated colon Crohn's disease Ulcerative colitis Renal/ureteric stones
4
Q
Ddx for LUQ pain
A
Ruptured spleen Gastric ulcer Aortic aneurysm Perforated colon Pyelonephritis (L) Pneumonia
5
Q
Ddx for umbilical pain
A
Intestinal obstruction Acute pancreatitis Early appendicitis Mesenteric thrombosis Aortic aneurysm Diverticulitis
6
Q
Classification of biliary coilic pain
A
RUQ pain which radiates to the back +/- jaundice
7
Q
Classification of acute appendicitis pain
A
Peri umbilical pain which moves to RIF, anorexia, vomiting, constipation, fever.
Special tests: Rosvsings sign (pain >RIF than LIF when the LIF is pressed) Psoas sign (pain on extending hip if retrocaecal appendix) Cope sign (pain on flexion and internal rotation of the right hip if appendix in close relation to obturator internus)
8
Q
Classification of pain in acute pancreatitis
A
Gradual or sudden severe epigastric pain which radiates to the back and relieved by sitting forward, vomiting prominent
