Last Updated on December 20, 2020 by FRCEM Intermediate

• Abdominal Pain in above 65 years means you have to do a USG AAA Screen
• Think Mesenteric Ischemia/Ischemic Colitis when “Pain is out of Proportion”
• Distended Abdomen: Ascites, Bowel Obstruction, Urinary Retention
• Females in 40s = Gall Stones
• Alcoholic and Gall Stones = Pancreatitis (Amylase, Lipase, CT)
• Ascites + Fever = Spontaneous Bacterial Peritonitis
• Young Female = Ectopic or Torsion Ovarian Cyst
• Female with PV Discharge = PID/Tubo-ovarian Abscess
• Gravid Female beyond 20 weeks + Pain (Bleeding +) = Abruptio Placenta
• Young Male = Torsion Testis
• Child (Get a Capillary Gas) = Torsion Testis or DKA
• A child with Purpura on limbs = Intussusception in HSP
• Young Male athlete with Distension = Cecal Volvulus
• Previous Abdominal Surgery with distension = Obstruction
• Loin to Groin + Hematuria on dipstick = Renal Colic (Ketorolac)
  • Admission in Renal Colic:
    • Concomitant AKI,
    • Concomitant Infections,
    • Single or transplanted kidney,
    • Pain persisting despite adequate analgesia,
    • Vomiting severe,
    • hydronephrosis on bedside USG Screen
• Costo-vertebral angle tenderness + Positive Dipstick = Pyelonephritis
• Read Bowel obstruction