organic abdominal pain

Question 1

5 MEDICAL CAUSES OF ACUTE ABDOMNAL PAIN

Answer 1

1. Infection: gastroenteritis, mesenteric adenitis, lower lobe pneumonia, UTI, acute
   hepatitis.
2. Constipation
3. Henoch - Schonlein purpura
4. Acute nephritis
5. Rare but important Diabetic ketoacidosis, sickle cell crisis, iron/ lead poisoning

Question 2

5 SURGICAL CAUSES OF ACUTE ABDOMINAL PAIN

Answer 2

1. Acute appendicitis
2. Intussuception
3. Volvulus
4. Strangulated inguinal hernia
5. Torsion of testis/ ovary

Question 3

questions for a acute abdomen history 5

Answer 3

1. Ask about the Pain (SOCRATES = Site Onset Character Radiation Association
   Timing Exacerbating and relieving factors and Severity)
2. Urinary/bowel symptoms
3. Remember LMP in girls
4. Last meal
5. DH/ allergies

Question 4

differentials for abdominal pain in children 5

Answer 4

1. Acute appendicitis
2. Mesenteric adenitis
3. Constipation
4. Gastroenteritis
5. UTI

Question 5

investigations for an acute abdo pain in children 5

Answer 5

1. Active observation
2. Urinalysis – beta HCG
3. Bloods –FBC, UE, CRP, LFT, GLU, GS, (Amy)
4. AXR
5. USS

Question 6

xray appearance of acute appendicitis 5

Answer 6

1. Scoliosis due to pain
2. Faecolith
3. Absent Right psoas shadow
4. Intraperitoneal gas indicating perforation
5. Abnormal caecal gas or small bowel
   dilatation