COMMON ABDOMINAL PAIN PRESENTATIONS

COMMON ABDOMINAL PAIN PRESENTATIONS What are the 'medical' causes of abdominal pain? - CORRECT ANSWER -acute coronary syndrome diabetic ketoacidosis pneumonia acute intermittent porphyria lead poisoning Describe the presentation of peptic ulcers. - CORRECT ANSWER -duodenal ulcers: more common than gastric, epigastric pain relieved by eating gastric ulcers: epigastric pain worsened by eating features of upper gastrointestinal haemorrhage may be seen (haematemesis, melena etc.) Describe the presentation of appendicitis. - CORRECT ANSWER -pain is initially in the central abdomen before localising to the right iliac fossa anorexia common tachycardia, low-grade pyrexia, tenderness in the RIF Rovsing's sign: more pain in RIF than LIF when palpating LIF Describe the presentation of acute pancreatitis. - CORRECT ANSWER -usually caused by alcohol or gallstones severe epigastric pain vomiting common examination may reveal tenderness, ileus and low-grade fever periumbilical discolouration (Cullen's sign) and flank discolouration (Grey-Turner's