A case of acute abdomen - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-23-2011
Seetal's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 919
Threads: 134
Thanked 1,301 Times in 364 Posts
Reputation: 1324
Send a message via MSN to Seetal
Question A case of acute abdomen

A 46 year old woman presents with sudden episode of abdominal pain which started about 2 hours ago. The pain is in the epigastrium and radiates to her back. She has vomited twice since the onset of attack. The pain is made worse by lying flat on her back and she is more comfortable sitting up and bending forwards. She was informed of the presence of gallstones in her gall bladder four weeks previous when she reported pain in the right hypochondrium. The oral temperature is 390C, the blood pressure is 120/80 mm Hg and the radial pulse rate is 118/min. There is slight jaundice and marked tenderness in the right hypochondrium particularly on deep palpation.

Which of the following is the most likely diagnosis?
A. Appendicitis
B. Pancreatitis
C. Cholecystitis
D. Duodenal ulcer
E. Gastric Ulcer
Reply With Quote Quick reply to this message



  #2  
Old 04-23-2011
Banned
 
Steps History: 1 + CK
Posts: 751
Threads: 133
Thanked 306 Times in 192 Posts
Reputation: 316
Default

The answer would be pancreatitis.
Reply With Quote Quick reply to this message
  #3  
Old 04-23-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 351 Times in 169 Posts
Reputation: 374
Default

Agree with add1-acute pancreatitis secondary to Cholilithiasis.
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message
  #4  
Old 04-23-2011
Seetal's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 919
Threads: 134
Thanked 1,301 Times in 364 Posts
Reputation: 1324
Send a message via MSN to Seetal
Default

thanks guys. i was thinking pancreatitis too. just clearing my doubt.
Reply With Quote Quick reply to this message
  #5  
Old 04-23-2011
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 32
Threads: 4
Thanked 12 Times in 8 Posts
Reputation: 22
Default gallstone pancreatitis

when u have abdominal presentation of pericarditis bending forward then the opposite makes it better its pancreatitis... if its up there near the heart its pericarditis

nausea-vomiting- radiates to the back and NOT TO THE SHOLDER more common to pancreatitis
Reply With Quote Quick reply to this message



Reply

Tags
Step-2-Questions, Surgery-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Acute Cholecystitis Vs Acute Ascending Cholangitis Hohepa USMLE Step 2 CK Forum 2 01-28-2015 05:28 AM
acute megakaryocytic leukemia or acute lymphoblastic leukemia in Down syndrome patients??? doctorF USMLE Step 1 Forum 6 10-05-2011 10:35 AM
examination of painful area in abdomen hedihav_x USMLE Step 2 CS Forum 1 01-26-2011 05:32 PM
Acute abdomen confusion! Breex USMLE Step 2 CK Forum 7 04-29-2010 03:27 PM
Acute Abdomen Case 13monument USMLE Step 2 CK Forum 5 03-20-2010 02:53 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)