Intro Wk: Acute

Question 1

The red flag condition for N+V?

Answer 1

Incarcerated Hernia

Question 2

The red flag conditions for epigastric pain? (2)

Answer 2

MI + Leaking AAA (also flank pain)

Question 3

The red flag condition for RUQ pain?

Answer 3

RLL Pneumonia

Question 4

The red flag condition for groin pain?

Answer 4

Torted Testes

Question 5

The red flag conditions for RIF pain? (2)

Answer 5

Large bowel obstrc + ruptured ectopic preg (also LIF pain)

Question 6

What would pain out of proportion to clinical findings suggest?

Answer 6

Ischaemic Bowel

Question 7

What is the most common acute abdo dx worldwide?

Answer 7

Appendicitis

Question 8

Ddx for Young Female RIF Pain

Answer 8

GI: appendicitis, mesenteric adenitis, terminal ileitis, constipation, IBS

GU: ureteric calculus + UTI

Gyn: ectopic preg, tubo-ovarian pathology abscess/cyst/torsion, endometriosis, PID, mittelschmerz

Question 9

Ddx of Appendicitis

Answer 9

GI: mesenteric adenitis, terminal ileitis, caecal diverticulitis, Meckel’s diverticulum

GU: testicular torsion, ureteric calculus, UTI

Gyn: ectopic preg, tubo-ovarian pathology abscess/cyst/torsion, endometriosis, PID, mittelschmerz

Question 10

Ddx of Terminal Ileitis

Answer 10

Inflammation: CD + backwash ileitis

Infection: yersinia, salmonella, c difficile, mycobacterium

Malignancy: adenocarcinoma, metastatic, lymphoma, carcinoid

Plus spondyloarthropathies + vasculitides