Abdominal Pain

Question 1

Examples of easily missed or referred pain

Answer 1

MI, DKA, lower lobe pneumonia, sickle cell, opioid withdrawal

Question 2

Classical presentation of renal colic

Answer 2

Comes and goes, CVA tenderness, +/- loins, radiates to groin, testicle, labia, restlessness

Question 3

Classical presentation of bladder pain

Answer 3

Diffuse, severe pain in the suprapubic region

Question 4

Prostatic pain

Answer 4

Dull ache felt in the lower abdomen, rectum, perineum or anterior thigh

Question 5

Urethral pain

Answer 5

Tickling discomfort to sharp severe pain, triggered by micrurition

Question 6

Small bowel obstruction

Answer 6

Colicky central pain, associated with vomiting 🤢, abdo distension, +/- constipation

Question 7

Bowel ischemia

Answer 7

Dull,severe, constant , RUQ/central abdo pain, exacerbated by eating

Question 8

Biliary pain

Answer 8

Intermittent, ruq/epigastric pain, (can be constant) worse after eating fats

Question 9

Pancreatic pain

Answer 9

Epigastric, radiates to the back, relieved partly by sitting up & leaning forwards

Question 10

Peptic ulcer

Answer 10

Dull/burning epigastric pain, typically at night, wakes patient, eating makes it worse

Question 11

Appendicitis

Answer 11

Migratory pain, periumblical moves to right iliac fossa, painful to move

Question 12

Diverticulitis

Answer 12

Left lower quadrant pain, sometimes rlq

Question 13

Cholycystitis

Answer 13

RUQ pain, radiates to right shoulder/back, fatty meals

Question 14

Ovarian torsion

Answer 14

Sharp lower quadrant pain on affected side radiating to leg or back

Question 15

Aortic dissection

Answer 15

Sudden tearing pain, radiates to back between shoulder blades