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Revision boxes

EMQs describing abdominal pain are very common. Box 1 describes some classic presentations that you may find in questions.

Colicky loin pain radiating to groin Ureteric colic Jaundice and constant right upper quadrant pain

Biliary colic

Severe epigastric pain radiating to back associated with vomiting

Acute pancreatitis

Periumbilical pain radiating to right iliac fossa

Acute appendicitis

Central abdominal pain, expansile pulsatile mass

Abdominal aortic aneurysm

Iliac fossa pain, positive pregnancy test Ectopic pregnancy

Box 2 summarizes various signs that may be mentioned in an EMQ which should prompt you to look for particular options in the question.