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?
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Which imaging would you consider in this patient?
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Ultrasound confirms a common bile duct stone. How would you manage the patient?
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Try some OSCE stations
- Abdominal pain history
- Acute pancreatitis history
- Acute assessment – abdominal pain
- Acute assessment – abdominal pain II
- More here
