Page 1 of 1: abd pain ...............

HANNA · Credits: 1064316 My Scrapbook

Q 1: Theme : Diagnosis of abdominal pain

Options:
A.Acute appendicitis
B. Diverticular disease
C. Abdominal aortic aneyrysm
D. Perforated peptic ulcer
E. Crohn’s disease
F. Ulcerative colitis
G. Acute pancreatitis
H. Chronic active hepatitis
I. Acute viral hepatitis
J. Pseudo-obstruction
K. Acute cholecystitis
L. Acut diverticulitis

A 20-yrs old man present with colicky periumbilical pain, which shifts to the right iliac fossa, fever, and loss of appetite.
A 48 yrs –old man presents with severe epigastric pain radiating to the back. He is noted to have some bruising in the flanks.
A 42 yrs-old woman presents with anorexia, abdominal pain, and increasing jaundice. She is asthmatic and takes methyldopa for hypertension.
A 50 yrs old man presents with left-sided colicky iliac fossa pain, change in bowel habits and, rectal bleeding. A thickened mass is palpated in the region of the sigmoid colon. His full blood count is normal.
A 78 yrs old woman with stable angina presents with massive abdominal distension 10 days following a total hip replacement.

sajida · Credits: 105517 My Scrapbook My Reading List 6 Books

1--a
2--g
3--h
4---b
5---j

HANNA · Credits: 1064316 My Scrapbook

agree

note

pseudoobstruction.................surgery is one of the cause.

pt present with little or no abd pain and abd distension.
failure to pass flatus or faeces
no local abdominal tenderness
no bowel sounds
vomiting/persistently high nasogastric output
radiology shows gas throughout small and large bowel, but this does not exclude partial mechanical obstruction

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