18 Scenarios contain the text: 'abdominal pain' |
| Title | Description |
|---|---|
| Acute abdominal pain | You are on your surgical placement when a 40 year old NZ European woman presents to the Emergency Department with sudden onset abdominal pain. She finds the pain severe and she has been vomiting. She has no relevant medical history. You go to see her with the surgical registrar. D/O: Digestive System (•••), Gastroenterology & Hepatology (•••), General Surgery (•••), Obstetrics & Gynaecology (•••), Emergency Medicine (••), General Practice (•) PTT: Digestive, Seriously ill patient |
| Acute abdominal pain in children and adolescents | An 8 month old Māori boy comes to the Emergency Department with intermittent screaming episodes and becoming pale, accompanied by curling his legs. His mother thinks his tummy is rigid and says he passed some mucous into his nappy that morning. D/O: Digestive System (•••), General Surgery (•••), Paediatrics (•••), Emergency Medicine (••), General Practice (••) PTT: Child health, Digestive |
| Acute presentation of diabetes mellitus | A 17 year old NZ European man presents to the Emergency department complaining of abdominal pain and passing lots of urine. He has vomited twice and is breathing rapidly with deep sighing breaths. The blood glucose is 27 mmol/L and serum ketones are strongly positive. D/O: Endocrinology (•••), Emergency Medicine (••), Digestive System (•) PTT: Seriously ill patient |
| Chronic abdominal pain in children and adolescents | A 7 year old NZ European boy who has had ill-defined abdominal pain almost daily for 3 months, is seen by his GP. His father thinks he has lost a little weight and is lethargic. D/O: Digestive System (•••), Paediatrics (•••), Psychiatry/Health Psychology (••) PTT: Child health |
| Gynaecological abdominal pain | A 29 year old NZ European/Māori woman presents to the Emergency Department with lower abdominal pain and some vaginal bleeding. D/O: Obstetrics & Gynaecology (•••), General Surgery (••), Reproduction & Development (••), Genitourinary System (•) PTT: Women's health |
| Late pregnancy complications | A 34 year old Korean woman on the antenatal ward is 33 weeks pregnant, in her second pregnancy. The midwife calls you because she has developed abdominal pain and feels unwell. D/O: Obstetrics & Gynaecology (•••), Reproduction & Development (•••), Paediatrics (•) PTT: Women's health |
| Medically unexplained physical symptoms | While on your Medicine attachment you are asked to see a 28 year old NZ European woman who is suffering from chest pains. She is in the Radiology Department undergoing an X-ray when you come to see her on the ward so you decide to review her electronic patient record. You are shocked to find she has a huge number of presentations with visits to multiple outpatient clinics and many discharge summaries from different hospitals. You also have time to review her blood tests and ECG which are all unremarkable. When she has returned from her X-ray you go to speak with her. She explains that she is constantly unwell and no one has been able to correctly diagnose her. She says the problems have been present for years and can present in a variety of different ways; she has presented with abdominal pain, dyspepsia, pelvic pain and headaches. Things definitely got worse when she lost her job 3 years ago. D/O: General Practice (•••), Psychiatry/Health Psychology (•••) PTT: Mental health |
| Patient with jaundice | A 67 year old Cook Island Māori man presents to his GP after his wife commented that he had 'gone yellow'. He has recently been feeling fatigued and suffers from bouts of abdominal pain, especially after eating. The GP asks if you can take a history before they see the patient. You speak to him and he tells you that his stool is pale and his urine is dark. D/O: Digestive System (•••), General Surgery (•••), Gastroenterology & Hepatology (••) PTT: |
| Postmenopausal bleeding | A 55 year old Indian woman presents to her GP complaining of lower abdominal pain and bloating. Her periods stopped 14 months ago but recently she has had some vaginal bleeding. Her body mass index (BMI) is 32kg/m2 D/O: Obstetrics & Gynaecology (•••), Oncology (••), Reproduction & Development (••) PTT: Women's health |
| Postoperative complications | A 75 year old Chinese woman had an anterior resection (large bowel operation) 4 days ago. She develops fever, abdominal pain and has not opened her bowels since surgery. She has an intravenous cannula in her forearm and one in her foot. She also has an indwelling urinary catheter. Her heart rate is 130 beats per minute, her blood pressure has fallen to 90/50 mmHg, and her temperature is 38.3°C. She is breathing rapidly. You are the on call junior doctor and are asked to review her. D/O: General Surgery (•••), Infectious Diseases (•••), Anaesthesiology (••), Cardiovascular System (••), Digestive System (••), Urology (••), Ethics (•) PTT: General duties, Homeostasis |
| Vaginal bleeding late in pregnancy | A 26 year old NZ European woman presents to the Emergency Maternity Assessment area, in her second pregnancy. She is 31 weeks pregnant and has developed vaginal bleeding and lower abdominal pain. She had a Caesarean section for her first pregnancy. D/O: Obstetrics & Gynaecology (•••), Reproduction & Development (•••), Haematology (••) PTT: Women's health |
| Chronic upper abdominal symptoms | A 33 year old NZ European woman presents to her GP with fatigue, dyspepsia and acid reflux. Her symptoms have been slowly developing over the past couple of months. You take a history and examine her. After presenting your findings to the GP they ask you how you would like to manage her symptoms. D/O: Digestive System (•••), General Practice (•••), Gastroenterology & Hepatology (••), Infectious Diseases (••), General Surgery (•) PTT: Digestive |
| Flank pain and dysuria | A 35 year old Tongan woman presents with severe right sided flank pain radiating down to her groin, pain while passing urine, and haematuria. She had a similar episode 6 years ago. D/O: Genitourinary System (•••), Infectious Diseases (•••), Urology (•••), Emergency Medicine (••), General Surgery (••), Renal Medicine (•) PTT: Renal |
| Regional limb pain | A 53 year old NZ European female presents with pain in her right shoulder that is worse with movement and restricts her range of motion. She states the pain has been present for the past 6 months and has developed gradually. It has become worse this week after she had a minor fall. The pain is now affecting her occupation as a bartender and causing her to have multiple days off work. D/O: Musculoskeletal System (•••), Orthopaedics (•••), Rheumatology (•••) PTT: Musculoskeletal |
| Accidental overdose | An 82 year old Māori man attends the Emergency Department feeling awful. He has recently had his medication list changed but he has been using both his old and new blister packs. D/O: Clinical Biochemistry (•••), Clinical Pharmacology (•••), Emergency Medicine (•••) PTT: Seriously ill patient |
| Chronic bowel motility problems | A 35 year old South African man presents to his GP with alternating loose stools and constipation. He has not lost any weight but finds his symptoms distressing, because they have been present for a few months. D/O: Digestive System (•••), Gastroenterology & Hepatology (•••), General Surgery (•••), Oncology (•) PTT: Digestive |
| Febrile returning traveller | A 28 year old Canadian man has recently arrived in Auckland from a 2 month holiday in Laos. Whilst in Laos he visited jungle and rural areas, swam in rivers and had a sexual liaison with a German backpacker. He visits his GP with intermittent fever, sweats, lethargy and loose bowel motions. His symptoms have been present for 5 days. D/O: Infectious Diseases (•••), Microbiology (•••), Ethics (•), Haematology (•) PTT: Infectious disease |
| Infectious disease outbreak | Your General Practice looks after a large residential aged care facility. One weekend, when on call, you are phoned by the manager of the facility. She reports that four of the residents have acute symptoms of diarrhoea and vomiting. D/O: Epidemiology (•••), Infectious Diseases (•••), Microbiology (•••), Population Health (•••) PTT: General duties, Infectious disease |
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