Chronic Abdominal Pain Flashcards

1
Q

Lower GI Causes

A

Diverticular Disease
Constipation
Malignancy

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2
Q

Upper GI Causes

A
Gastritis
Peptic Ulcer 
Hiatus Hernia
Gastric Malignancy
IBS
Sub-acute bowel obstruction
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3
Q

Hepatobiliary Causes

A

Gall stones
Chronic Pancreatitis
Liver Ca

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4
Q

Metabolic Causes

A

Addison’s Disease
Prophyria
Lead poisoning

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5
Q

Renal/Urinary Causes

A

Renal Stones
Recurrent UTI
Adult PKD
Bladder/renal malignancy

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6
Q

Social Hx

A

Smoking
Occupation
Alcohol
Diet (fatty foods, gallstones)

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7
Q

Gynae Causes

A
Endometriosis
Fibroids
PID
Dysmenorrhoea
Ovarian Cyst
Pregnancy
Ovarian/Endometrial Ca
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8
Q

GUM Causes

A

STI
Epididymitis
Testicular Ca

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9
Q

Other

A
Psychogenic
Mesenteric Ischaemia 
Lower lobe pneumonia 
Referred hip joint pain
Psoas Abscess
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10
Q

Bedside

A

Urine Dip - haematuria

PT

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11
Q

Bloods

A

FBC - low hb, WCC

UEs, CRP, LFTs, amylase

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12
Q

Imaging

A

USS: renal/gynae pathology

CT Abdomen: Malignancy

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13
Q

Special Tests

A

Gastroscopy/colonoscopy

ERCP gallstones, malignancy

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14
Q

Systems Review

A
Change in Bowel habit?
Urinary sx 
LMP, gynae hx,
Fevers, temps?
N+ V?
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15
Q

Social Hx

A
Smoking (chron's)
Alcohol
Travel, 
IVDU, 
Sexual hx 
Occupation
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16
Q

RED FLAGS

A

Weight loss
Jaundice
Fatigue
Bleeding

17
Q

Drug Hx

A

Warfarin/NOAC
NSAIDS
Opiates/painkillers = constipation