Surgical
Other surgical causes = Testicular torsion, ischaemic colitis, volvulus, strangulated hernia, Meckel’s diverticulum, mesenteric adenitis, adhesions, hepatic abscess, psoas abscess
Medical
Other medical differentials = Gastroenteritis, constipation, Crohn’s disease, ulcerative colitis, MI, pneumonia, sickle cell crisis, DKA, pyelonephritis, IBS, Budd-Chiari syndrome, addisonian crisis, hypercalcaemia, acute intermittent porphyria, hepatitis
Gynaecological
Other gynaecological differentials = Salpingitis, pregnancy, fibroid degeneration, Fitz-Hugh–Curtis syndrome, endometriosis
Test yourself with some questions
A patient presents with right upper quadrant pain and a fever. Blood tests show raised inflammatory markers and hyperbilirubinaemia and raised ALP. What is the differential diagnosis?
Oops! This section is restricted to members.
Oops! This section is restricted to members.
Which imaging would you consider in this patient?
Oops! This section is restricted to members.
Ultrasound confirms a common bile duct stone. How would you manage the patient?
Oops! This section is restricted to members.
Try some OSCE stations
- Abdominal pain history
- Acute pancreatitis history
- Acute assessment – abdominal pain
- Acute assessment – abdominal pain II
- More here