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Undifferentiated Presentations Abdominal Pain — Written Clinical Reasoning
DCE-style written reasoning for Undifferentiated Presentations Abdominal Pain.
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Target exams
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]
Model Answer
1. Frame and red flags (3 marks) [1]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]
2. Discriminating assessment (3 marks) [2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]
3. Treatment sequence (4 marks) [1] [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]
4. Follow-up and communication (2 marks) [2]
Disposition, safety-net advice, and who owns follow-up. [1] [2]
References6ShowHide
- [1]Yew KS, George MK, Allred HB Acute Abdominal Pain in Adults: Evaluation and Diagnosis Am Fam Physician, 2023.PMID 37327158
- [2]Cartwright SL, Knudson MP Evaluation of acute abdominal pain in adults Am Fam Physician, 2008.PMID 18441863
- [3]Sangiorgio G, Biondi A, Basile F et al. Acute abdominal pain in older adults: a clinical and diagnostic challenge Minerva Chir, 2020.PMID 32550726
- [4]Broder JS, Oliveira J E Silva L, Bellolio F, Freiermuth CE, et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department 2 (GRACE-2): Low-risk, recurrent abdominal pain in the emergency department Acad Emerg Med, 2022.PMID 35543712
- [5]Carpenter CR, Griffey RT, Mills A, Doering M, et al. Repeat computed tomography in recurrent abdominal pain: An evidence synthesis for guidelines for reasonable and appropriate care in the emergency department Acad Emerg Med, 2022.PMID 34897917
- [6]Luria L, Nguyen J, Zhou J, Jaglal M, et al. Manifestations of gastrointestinal plasmablastic lymphoma: a case series with literature review World J Gastroenterol, 2014.PMID 25206297