Abdominal pain

Abdominal pain

  • Scenario to consider: A 35 year old presents with abdominal pain

    • What are the differential diagnoses, what questions might you ask, what are the RED FLAG symptoms, what is important on examination?

  • Review readings and videos.

  • Consider reading up on some specific diagnoses (GORD, Cholecystitis, IBS, Gastroenteritis, Appendicitis, Pyelonephritis, Constipation, Stomach/Bowel cancer) for example on www.patient.co.uk or CKS e.g. https://cks.nice.org.uk/topics/dyspepsia-proven-gord/management/dyspepsia-proven-gord/

  • Choose how best to explore in your tutorial e.g.

    • Jamboard review of differential diagnoses, history questions and points of examination

    • role-play with GP as an abdominal pain patient

    • watch the Virtual Primary Care video(s) below and explore learning points from the consultation and further reading - you may want to select a part of the video for discussion to watch together in the tutorial


Abdominal pain is a common presenting problem in primary care or A&E. Symptoms may be acute (an 'acute abdomen'), subacute or chronic. There are many possible causes - it is not always possible to reach a definite diagnosis in primary care. What is important is to assess how sick the patient is, to identify any life-threatening problems or 'red flags' and to decide the next step in management - eg, whether to monitor, investigate or refer and how urgently.


Recommended videos

1) Clinically speaking (you can search with term 'abdominal pain' for other videos)

https://speakingclinically.co.uk/videos/cholecystitis/

https://speakingclinically.co.uk/videos/biliary-colic-3/

https://speakingclinically.co.uk/videos/appendicitis-and-appendix-mass/

2) Virtual Primary Care (suggested generic questions)

A patient presenting with acute abdominal pain https://vpc.medicalschoolscouncil.org.uk/staff/videos/77

  • See resources and questions attached to this video

A patient with haematemesis, abdominal pain, rectal bleeding https://vpc.medicalschoolscouncil.org.uk/staff/videos/18

  • See resources and questions attached to this video


Jamboard

Visual thinking together

Available to open on google drive

Mentimeter

Free questionnaire tool for virtual tutorials