pt has acute abdo pain with these extra symptoms/features, what is likely diagnosis? Flashcards
gallstone lodged in the bile duct
pain worse after eating fatty meal
no fever and inflammatory markers are normal
RUQ pain
Biliary colic
Pain is very severe.
Tender to touch.
low-grade fever
pain in Epigastrium, sometimes radiating through to the back
Acute pancreatitis
NSAID user.
haematemesis.
pain worse when eating.
pain in Epigastrium
Peptic Ulcer Disease
gastric
Vomiting.
Not opened bowels recently
‘Tinkling’ bowel sounds
history of operation.
central pain.
give diagnosis + explain why surgeries cause this problem.
Intestinal obstruction
adhesions
Severe pain.
Intermittent pain.
pt is restless
haematuria present.
Loin pain radiating to groin.
Renal Colic
Caused by obstruction to the bladder outflow.
Much more common in men, who often have a history of benign prostatic hyperplasia.
suprapubic pain.
Urinary retention
pain.
amenorrhoea for 8 weeks.
a little bit of dark brown vaginal bleeding.
Right or left iliac fossa pain.
Ectopic pregnancy
pt has atrial fibrillation.
Diarrhoea + rectal bleeding
metabolic acidosis present.
Central abdominal pain
Mesenteric ischaemia
Murphy’s sign positive
Fever and raised inflammatory markers
Right upper quadrant pain
Acute cholecystitis
Pain initially in the central abdomen before localising to the right iliac fossa (RIF).
Tachycardia, low-grade pyrexia, tenderness in RIF.
Rovsing’s sign
Appendicitis
Colicky pain in the LLQ.
Diarrhoea, sometimes bloody.
Fever, raised inflammatory markers and white cells
Acute diverticulitis
bacterial infection of the biliary tree
RUQ pain.
Charcot’s triad present.
What is likely diagnosis.
What is charcot’s triad?
Ascending cholangitis
right upper quadrant pain, fever and jaundice
Fever,
rigors,
common as is vomiting.
Loin pain
Acute pyelonephritis
pt collapsed, is in shock (hypotension, tachycardic).
has peripheral vascular disease & a stroke in the past.
Central abdominal pain radiating to the back
Ruptured abdominal aortic aneurysm
