Questions and Answers
What is the patient's age and gender in the first abdominal pain case?
35-year-old male
What are the key complaints of the second abdominal pain case?
Localized epigastric abdominal pain and a history of peptic ulcer disease and GERD
What was the onset time of abdominal pain in the third case?
1300 today after eating pizza
At how many weeks pregnant is the patient experiencing vaginal bleeding?
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How does the patient rate her right flank pain?
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What precautions is the patient in following a fall?
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What was the temperature recorded for the 12-month-old patient with fever?
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What are the symptoms reported by the female patient with a headache?
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What does the patient deny experiencing in the first abdominal pain case?
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What is a notable factor the second abdominal pain patient admits to?
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Study Notes
Abdominal Pain Cases
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Case 1:
- 35-year-old male with left lower quadrant (LLQ) pain lasting two hours.
- Previous intermittent LLQ pain for 1-2 weeks, currently more severe.
- Testicular pain present; denies diarrhea, blood in stool, dysuria, fever, recent travel, dietary changes, or history of kidney stones.
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Case 2:
- 39-year-old male with a history of peptic ulcer disease and GERD.
- Presents with localized epigastric pain that started last night; no relief found.
- Currently free of pain; denies nausea, vomiting, diarrhea, constipation, or rectal bleeding.
- Complains of non-compliance with proton pump inhibitors and denies gallstone history.
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Case 3:
- 62-year-old female with abdominal pain, predominantly in the epigastrium, occurring after eating pizza.
- Tolerates oral intake without nausea or vomiting; experienced mildly loose stool.
- No fever present; patient has prior cardiac issues.
Vaginal Bleeding in Pregnancy
- 30-year-old female, approximately 9 weeks pregnant, with complaints of vaginal bleeding and mild cramping starting this morning.
- Heavy bleeding indicated (three pads); denies passing tissue or clots.
- Recent ultrasound showed no viable pregnancy; obstetric history includes G5, P1, with three therapeutic abortions.
Flank Pain Case
- 76-year-old female presenting with severe non-radiating right flank pain for one day, rated 10/10 severity.
- Symptoms somewhat relieved by Tramadol but return quickly.
- Denies chest pain, shortness of breath, fever, or cough.
Fall Incident
- 44-year-old female in full cervical spine precautions after a mechanical fall while climbing a boulder.
- Fell approximately 2.5 meters, landing on feet then to her right side; minimal lower back and right leg pain upon ambulation.
- Denies head trauma, loss of consciousness, neck pain, or incontinence; no significant past medical history.
Pediatric Fever Presentation
- 12-month-old male with subjective fever of 103.8°F, parents haven't administered medications.
- Active and playful, denial of vomiting, diarrhea, cough, or rashes.
- Eats normally but refuses solid foods; all immunizations up to date, unremarkable delivery history.
Headache Case
- 39-year-old female with a one-day history of intermittent migraine headache, accompanied by nausea and photophobia.
- Rates pain as 9/10; denies vomiting, fever, respiratory symptoms, or focal neurological signs.
- History of migraines; experiences bilateral lower extremity soreness, right more than left, without swelling or hypertension history.
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Description
This quiz explores various clinical cases of abdominal pain and vaginal bleeding during pregnancy. Each case provides a detailed patient history and symptomatology. Test your knowledge on differential diagnoses and clinical management.
