Updated RATED A+ | NEW 2026
Gastroenteri s
Any age, Crampy. Diffuse, Nausea, vomi ng, Diarrhea
Fever, Food, Occasional relief with vomi ng or diarrhea, Hyperac ve peristalsis
Gastri s Nature of pa ent
Especially alcoholic pa ents
Gastri s loca on of pain
Epigastrium
Appendici s S/S
Vomi ng (a&er pain has started)
Cons pa on
Fever
appendici s
Early:epigastrium, periumbilicus Later: RLQ
Cholecys s, cholelithiasis LOCATION OF PAIN
RUQ
Radiates to inferior angle of right scapula
Cholecys s, cholelithiasis-ASSOCIATED SYMPTOMS
Nausea, vomi ng
Dark urine, light stool
Jaundice;Fa1y foods
Drugs, oral contracep ves
Cholestyramine
Cholecys s, cholelithiasis
, Tenderness on palpa on or percussion in RUQ
Diver culi s
LLQ,Palpable mass in LLQ
Pancrea s-LOCATION OF PAIN
LUQ, epigastric
Radiates to back
Pancrea s-AMELIORATING FACTORS
Lying supine
Leaning forward
Pancrea s-PHYSICAL FINDINGS
Abdominal disten on
Decreased bowel sounds
Diffuse rebound
Murphy's sign
acute pancrea s
LUQ, epigastric
Radiates to back
Pep c ulcer with perfora on
Epigastric tenderness on palpa on or percussion
Dissec on or rupture of aor c aneurysm
Chest or abdomen
May radiate to back and leg
Murmurs
Plan-Do-Study-Act (PDSA) model
12 lead ECG
ABG
Venous Insufficiency