What other conditions present similarly?

Question 1

GORD

Answer 1

malignancy (oesophageal or gastric)

Peptic ulcers

oesophageal motility disorders

important not to miss cardiac or biliary disease

Question 2

Peptic Ulcer

Answer 2

GORD if presents with heartburn

gallstones

pancreatitis

(both present with RUQ pain)

gastric malignancy

Question 3

Ulcerative colitis

Answer 3

Mainly Crohn’s but UC patients have more bloody diarrhoea

chronic infection e.g. schistosomiasis

malignancy

IBS

Coeliac

Question 4

Irritable bowel syndrome

Answer 4

inflammatory bowel disease

lactose intolerance

coeliac

Question 5

infective gastroenteritis

Answer 5

inflammatory bowel disease

intussusception

appendicitis

Question 6

Acute Pancreatitis

Answer 6

abdominal aortic aneurysm

kidney stones

chronic pancreatitis

aortic dissection

peptic ulcer disease

all due to location of pain (radiating to the back)

Question 7

Chronic pancreatitis

Answer 7

conditions with persistent central abdominal pain:

peptic ulce disease

GORD

Abdominal aortic aneurysm

biliary colic

Question 8

Gallstones

Answer 8

acute hepatitis

gallbladder polyps

pancreatitis

peptic ulcer

(anything with pain in upper region)

Question 9

Appendicitis

Answer 9

Gynae:

• ovarian cyst rupture
• ectopic pregnancy

Renal:

• kidney stones (ureteric)
• UTI
• pyelonephritis

GI:

• IBD
• diverticular disease

Urological:

• testicular torsion
• epididymitis

Question 10

Bowel obstruction

Answer 10

non-mechanical types of obstruction:

• pseudo-obstruction
• paralytic ileus

toxic megacolon (when IBD causes the colon to expand)

constipation

Question 11

Femoral hernia

Answer 11

inguinal hernia (presented low on the body)

femoral canal lipoma

lymph node

femoral artery aneurysm

Question 12

Inguinal hernia

Answer 12

femoral hernia

femoral canal lipoma

lymph node

internal iliac aneurysm