Abdominal Pain - Week 8

Question 1

Give 4 Physiological causes of abdominal pain.

Answer 1

Inflammation
Stretching/distension
Loss of blood supply
Altered pain perception

Question 2

Parietal abdominal pain is caused by…

Answer 2

irritation of fibers that innervate the parietal peritoneum

Question 3

Pain or discomfort that is perceived at a site distant from the affected organ because of…

Answer 3

Overlapping transmission pathways

Question 4

Coffee-bean sign on imaging suggests…

Answer 4

Sigmoid volvulus

Question 5

Pneumoperitoneum suggests…

Answer 5

Abdominal organ perforation

Question 6

What is the radiopaque foreign bodies mneumonic?

Answer 6

BAT CHIPS

Question 7

What does BAT CHIPS stand for?

Answer 7

Barium, Antihistamines, Tricyclic antidepressants, Chloral hydrate, calcium, cocaine, Heavy metal, Iodine, Phenothiazine, potassium, Slow-release (enteric coated)

Question 8

21 yr old male. Cramping peri-umbilical pain several weeks. Worse after big meals. Loose stool 2-3/day. No blood. Now associated bloating, nausea + vomit with relief. Wt loss 1 stone. Admitted for investigation.

Small intestinal obstruction - what is the likely cause?

Answer 8

Crohn’s disease

Question 9

76 female
Sudden onset severe generalised abdominal pain
No vomiting or diarrhoea
Abdomen soft, mildly tender, bowel sounds sparse

What is the likely diagnosis?

Answer 9

Small bowel ischaemia

Question 10

Ulcerative Colitis and Crohn’s disease predisposes patients to…

Answer 10

Primary Sclerosing Cholangitis

Question 11

What is meant by biliary colic?

Answer 11

Symptom - Pain which comes & goes in RUQ