Sign up to our email list. Click here
image

Differential diagnosis: Acute abdominal pain

Surgical

image

Other surgical causes = Testicular torsion, ischaemic colitis, volvulus, strangulated hernia, Meckel’s diverticulum, mesenteric adenitis, adhesions, hepatic abscess, psoas abscess

Medical

image

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

image

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.

Create an account or log in to continue reading.

What is Charcot’s triad?

Oops! This section is restricted to members.

Create an account or log in to continue reading.

Which imaging would you consider in this patient?

Oops! This section is restricted to members.

Create an account or log in to continue reading.

Ultrasound confirms a common bile duct stone. How would you manage the patient?

Oops! This section is restricted to members.

Create an account or log in to continue reading.

Try some OSCE stations

  1. Abdominal pain history
  2. Acute pancreatitis history
  3. Acute assessment – abdominal pain
  4. Acute assessment – abdominal pain II
  5. More here
image
Join our email list!
For free OSCE tips and updates