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GCC Nursing Guide — Acute Abdomen Assessment & Management
General Surgery Emergency Nursing GCC Context DHA / DOH / SCFHS / QCHP Updated Apr 2026
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Acute Abdomen Definition: Sudden severe abdominal pain of acute onset requiring urgent clinical evaluation and often emergency surgical intervention. It represents a spectrum from life-threatening perforation to medical mimics.

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SOCRATES History Framework

S — SiteLocation, localised vs generalised, movement over time
O — OnsetSudden (perforation, dissection) vs gradual (obstruction)
C — CharacterColicky, sharp, dull, cramping, stabbing, burning
R — RadiationShoulder tip (diaphragm/liver), back (pancreatitis, aorta), groin (renal)
A — AssociationsNausea, vomiting, fever, altered bowel habit, urinary symptoms, last menstrual period
T — Time courseDuration, constant vs intermittent, progressive vs static
E — Exacerbating/RelievingMovement, food, defaecation, position, analgesia response
S — SeverityPain score 0–10; functional impact; worst pain ever?
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Pain Character — Diagnosis Correlation

Colicky

Waxes and wanes with visceral smooth muscle contraction. Diagnoses: renal/ureteric colic, bowel obstruction, biliary colic. Patient cannot lie still.

Sharp Constant

Sudden catastrophic onset. Diagnoses: hollow viscus perforation, mesenteric infarction, ruptured AAA.

Cramping

Diffuse, lower abdominal. Diagnoses: gastroenteritis, IBD flare, IBS.

Stabbing — Radiating to Back

Tearing retroperitoneal character. Diagnoses: aortic dissection, acute pancreatitis — both can be life-threatening.

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Physical Examination Sequence

1. Inspection
  • Abdominal distension — generalised (obstruction/ascites) or localised
  • Visible peristalsis (obstruction)
  • Scars — previous surgery (adhesion risk)
  • Hernial orifices — inguinal, femoral, umbilical, incisional
  • Guarding — voluntary vs involuntary
2. Palpation — Key Signs
  • McBurney's point — 1/3 from ASIS to umbilicus; tenderness = appendicitis
  • Rovsing's sign — pressure LIF causes RIF pain = appendicitis
  • Murphy's sign — RUQ tenderness on deep inspiration halted = cholecystitis
  • Rebound tenderness — worse on releasing than pressing = peritonism
  • Board-like rigidity — involuntary guarding = peritonitis (perforation)
3. Percussion & Auscultation
  • Tympany — gas-filled bowel loops (obstruction)
  • Shifting dullness — ascites (SBP, cirrhosis)
  • Normal bowel sounds — present, 5–30/min
  • Tinkling/high-pitched — early obstruction
  • Absent bowel sounds — ileus or peritonitis (silent abdomen = danger)
  • Succession splash — gastric outlet obstruction
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Signs of Peritonism

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Peritonism = surgical emergency until proven otherwise. Call senior immediately.

  • Board-like rigidity — involuntary guarding, rock-hard abdomen
  • Percussion tenderness — gentle percussion causes severe pain
  • Rebound tenderness — worse on release of pressure
  • Patient immobile — any movement aggravates pain
  • Shallow breathing — movement of abdominal wall painful
  • Lying still — peritonitis patients avoid movement (contrast: colicky patients writhe)
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Red Flag Features

  • Haemodynamic instability — HR >120, SBP <90 mmHg, cold peripheries
  • Peritonism — board rigidity, rebound, percussion tenderness
  • Absent bowel sounds — complete ileus or perforation
  • Shocked patient — altered consciousness, mottled skin
  • High fever (>38.5°C) with rigors — septic source (cholangitis, pyelonephritis)
  • Sudden onset 10/10 pain — perforation, aortic dissection
  • Amenorrhoea + pain + haemodynamic instability — ruptured ectopic pregnancy
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GCC context: Acute cholecystitis and biliary colic are highly prevalent due to high-fat diet patterns. Appendicitis peaks in young adults. Untreated peptic ulcer (often due to H. pylori) carries significant perforation risk across the region.

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Standardised GCC Assessment — Never Omit These Three

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ECG

Inferior STEMI (right coronary territory) presents as epigastric pain and vomiting. Always perform 12-lead ECG in ALL acute abdominal pain presentations.

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Blood Glucose (BM)

DKA presents with abdominal pain and vomiting — a known mimic. GCC has one of the world's highest T2DM prevalences. Check glucose and ketones in all acute abdomen.

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Beta-HCG

Ectopic pregnancy causes haemoperitoneum and haemodynamic collapse. Mandatory urine or serum beta-HCG in ALL women of reproductive age with acute abdominal pain.

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All patients with suspected surgical emergency: IV access × 2 (16G minimum), NBM, analgesia (do NOT withhold), bloods including group and save, senior surgical review immediately.

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Appendicitis — Alvarado Score

Acute appendicitis is the most common surgical emergency globally. Peak incidence in adolescents and young adults. GCC: high incidence in expatriate worker populations.

Alvarado Score Components
Migration of pain to RIF1 pt
Anorexia / acetone in urine1 pt
Nausea or vomiting1 pt
RIF tenderness on palpation2 pts
Rebound tenderness in RIF1 pt
Elevated temperature (>37.3°C)1 pt
WBC elevation (>10 × 10⁹/L)2 pts
TOTAL10 pts
Score Interpretation
1–4

Low probability appendicitis. Observe, repeat bloods/USS, consider discharge with safety netting.

5–6

Equivocal. Admit for observation, CT/USS, repeat examination. Serial WBC.

7–10

High probability. Surgical review for laparoscopic appendicectomy. Score ≥7 = high probability (sensitivity ~80%).

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Rovsing's sign: palpating LIF causes pain in RIF — highly specific for appendicitis. Also check psoas sign (hip extension) and obturator sign (internal hip rotation).

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Acute Cholecystitis

Clinical Features
  • RUQ pain — constant, worse after fatty meals
  • Murphy's sign positive (most specific sign)
  • Fever, nausea, vomiting
  • Elevated WBC, raised CRP
  • USS — gallstones, gallbladder wall thickening (>3mm), pericholecystic fluid
Management
  • IV fluids, NBM, analgesia (diclofenac PR effective)
  • IV antibiotics — co-amoxiclav or cefuroxime + metronidazole
  • Laparoscopic cholecystectomy — ideally within 72h of admission (early surgery reduces complications)
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GCC context: Very common given high dietary fat intake. Biliary colic (obstruction without infection) presents with colicky RUQ pain but no fever — distinguish from cholecystitis.

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Perforated Peptic Ulcer

Clinical Features
  • Sudden onset severe epigastric pain — "like being stabbed"
  • Rapidly generalises to peritonitis
  • Board-like rigidity, rebound tenderness
  • Patient lying still, not moving
  • Haemodynamic compromise if delayed presentation
Key Investigation
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Erect CXR: Free air under diaphragm (pneumoperitoneum) — present in ~70% of perforations. Absence does NOT exclude perforation — proceed to CT.

Management
  • Emergency laparotomy — Graham patch repair or primary closure
  • IV PPI, IV antibiotics, NGT decompression, urinary catheter
  • Resuscitation — aggressive IV fluids, analgesia
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Bowel Obstruction

Causes by Type
Small Bowel

Adhesions (most common in adults with previous surgery) > hernias > Crohn's. Central cramping pain, vomiting bilious early.

Large Bowel

Malignancy (most common) > volvulus > diverticular stricture. Absolute constipation (no flatus), marked distension.

Nursing Management
  • NGT decompression — "drip and suck" (IV fluids + NGT)
  • IV fluid resuscitation, electrolyte correction
  • NBM, urinary catheter, hourly urine output monitoring
  • Surgical review — strangulation must be excluded urgently
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Surgical Emergencies — High Stakes

Strangulated Hernia

Obstruction + vascular compromise = surgical emergency. Do NOT attempt manual reduction in A&E — risk of reducing non-viable bowel into abdomen. Features: irreducible lump + pain + obstructive symptoms + local erythema/tenderness. Emergency surgery.

Ruptured Ectopic Pregnancy

Haemoperitoneum → haemorrhagic shock. Clinical: missed period, acute unilateral pelvic pain, shoulder tip pain (diaphragm irritation by blood), haemodynamic collapse. Investigations: beta-HCG positive + USS (no intrauterine pregnancy + free fluid). Emergency surgery — laparoscopic salpingectomy.

Mesenteric Ischaemia

"Pain out of proportion to examination" — classical teaching. Risk factors: AF (embolic), atherosclerosis, heart failure. CT mesenteric angiography is diagnostic. Mortality >50% if diagnosis delayed. Emergency surgical/IR intervention.

Sigmoid Volvulus

Elderly, institutionalised, or chronically constipated patients. Massive sigmoid loop on AXR ("coffee bean" or "omega" sign). First-line: rigid sigmoidoscopy / endoscopic decompression and deflation. If ischaemia/perforation suspected: emergency surgery.

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Key principle: Many causes of acute abdomen are medical, not surgical. Misdiagnosis leads to unnecessary laparotomy — or worse, missed medical emergency. Always consider the full differential before committing to surgical pathway.

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Acute Pancreatitis

Clinical Presentation

Epigastric pain radiating to the back, worse lying flat, improved leaning forward. Nausea, vomiting, fever. Serum amylase or lipase >3× upper limit of normal is diagnostic.

Ranson Criteria — On Admission
Age >55 years1 pt
WBC >16 × 10⁹/L1 pt
Glucose >11 mmol/L1 pt
LDH >350 IU/L1 pt
AST >250 IU/L1 pt
0–2 ptsMild — mortality <1%
3–4 ptsModerate — 15% mortality
5–6 ptsSevere — mortality >40%
Nursing Management — Acute Pancreatitis
  1. IV fluid resuscitation: Aggressive crystalloid — Hartmann's/Ringer's lactate 3–4 L over 24h (reduces pancreatic necrosis)
  2. Analgesia: Regular morphine or pethidine IV/IM. NSAIDs as adjunct. Adequate pain control is a priority.
  3. NBM vs Early Enteral Nutrition: Mild: early oral/NG feeding beneficial (within 24–48h). Severe: NG tube feeding preferred over TPN. Strict NBM no longer evidence-based for mild cases.
  4. Monitoring: Hourly UO (target >0.5 mL/kg/hr), vital signs, SIRS criteria, calcium levels
  5. Necrotising pancreatitis: CT findings of >30% pancreatic necrosis — ICU level care, interventional radiology or surgical drainage if infected
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Monitor for SIRS — fever >38°C, HR >90, RR >20, WBC >12. Persistent SIRS beyond 48h indicates severe disease requiring HDU/ICU.

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Pyelonephritis & Urosepsis

Clinical Features
  • Loin/flank pain (costovertebral angle tenderness)
  • High fever, rigors — suggesting septicaemia
  • Dysuria, urinary frequency, haematuria
  • Nausea, vomiting, systemic sepsis
  • CVA (costovertebral angle) tenderness on percussion
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Septic shock risk: Elderly patients and diabetics (GCC — very high prevalence) can deteriorate rapidly to urosepsis. Apply Sepsis 6 protocol if septic criteria met.

Management
  • Urine MC&S, blood cultures × 2 before antibiotics
  • IV co-amoxiclav or gentamicin (local protocol)
  • IV fluid resuscitation, regular vital signs monitoring
  • USS kidneys — exclude obstruction (pyonephrosis requires urgent decompression)
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Spontaneous Bacterial Peritonitis (SBP)

Clinical Setting

Occurs in cirrhotic patients with ascites. May be subtly presenting — easy to miss.

Clinical Features
  • Fever, abdominal pain/diffuse tenderness
  • Worsening hepatic encephalopathy
  • Rapid deterioration in liver function
  • May present with minimal symptoms in advanced cirrhosis
Diagnosis — Diagnostic Paracentesis
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PMN (polymorphonuclear cells) >250 cells/mm³ in ascitic fluid = diagnosis of SBP. Begin cefotaxime IV empirically while awaiting culture results.

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Critical Medical Mimics — Never Miss

Inferior STEMI
Presentation

Right coronary artery territory infarction → epigastric pain, nausea, vomiting. May lack classic chest pain. ECG shows ST elevation in II, III, aVF.

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Do ECG in ALL acute abdomen.

Diabetic Ketoacidosis
Presentation

Abdominal pain + vomiting in DKA is common. Mechanism unclear (gastric paresis, mesenteric ischaemia). Can be severe enough to mislead towards surgical diagnosis.

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Check BM and urinary/blood ketones. GCC: T2DM prevalence 20–30%.

Lower Lobe Pneumonia
Presentation

Right lower lobe pneumonia irritates the diaphragm → referred pain to RUQ or epigastrium. Can mimic cholecystitis or appendicitis. Listen for reduced breath sounds, crepitations. CXR is diagnostic.

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Pre-operative nursing preparation is a critical patient safety function. Errors in preparation — missed blood group, late antibiotics, inadequate resuscitation — directly worsen surgical outcomes.

Pre-Operative Nursing Checklist

Access & Resuscitation
NBM Status
Analgesia
Bloods — Mandatory Panel
Documentation & Safety
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Analgesia — Cochrane Evidence

Evidence-based: Withholding analgesia does NOT improve diagnostic accuracy and significantly increases patient distress. The Cochrane review (2011) and NICE guidelines confirm analgesia should NOT be withheld pending surgical review.

Recommended options in acute abdomen pre-operatively:

  • Morphine IV/IM — titrate to pain, antiemetic co-prescribed
  • Diclofenac PR — effective for biliary/renal colic (avoid if renal impairment, GI bleed risk)
  • Paracetamol IV — adjunct, minimal side effects
  • Avoid opioids if DKA suspected — impairs consciousness assessment
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Antibiotic Prophylaxis

Timing

Must be given within 60 minutes of knife to skin. Re-dose for prolonged surgery (>4h) or major blood loss.

Common Choices by Procedure
AppendicectomyCefuroxime + metronidazole
CholecystectomyCefuroxime (single dose)
Bowel surgeryCefuroxime + metronidazole or co-amoxiclav
Perforated peptic ulcerCo-amoxiclav or cefuroxime + metronidazole
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Check local hospital antibiogram. GCC hospitals with high ESBL prevalence may use carbapenem as first line for peritonitis.

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Enhanced Recovery After Surgery (ERAS)

Early Mobilisation
  • Day 0 (same day): sit up in bed, dangle legs
  • Day 1: standing and walking with physiotherapy
  • Reduces VTE, ileus, pulmonary complications, hospital LOS
  • Document ambulation distances daily
Early Oral Feeding
  • Oral fluids as soon as haemodynamically stable and alert
  • Light diet day 1 post-laparoscopic procedures
  • NG feeding if oral not tolerated
  • Reduces gut mucosal atrophy and infection risk
Multimodal Analgesia
  • Paracetamol regular (1g QDS)
  • NSAIDs if not contraindicated
  • Opioid-sparing approach — tramadol, codeine as adjuncts
  • PCA or epidural for major open abdominal surgery
  • Wound infiltration — local anaesthetic
Fluid Optimisation

Avoid fluid overload — associated with delayed GI recovery, wound complications, pulmonary oedema. Use goal-directed fluid therapy. If urine output drops — reassess fluid status before giving bolus blindly. Target urine output >0.5 mL/kg/hr post-operatively.

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Recognising Post-Op Complications

Paralytic Ileus

Normal after abdominal surgery — bowel sounds typically return day 2–4. Features: absent bowel sounds, abdominal distension, no flatus, nausea. Management: NBM, IV fluids, NGT if vomiting, early ambulation accelerates resolution. Distinguish from early mechanical obstruction (adhesion) which tends to occur day 3–5.

Anastomotic Leak — Post Colorectal Surgery
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High mortality complication — peaks day 3–7 post-op.

Warning signs: rising CRP and WBC, increasing pain (especially around stoma or wound), tachycardia, fever, change in drain output character (faeculent or purulent), patient "not progressing as expected." Escalate immediately to surgical team. CT scan with contrast is diagnostic.

Wound Dehiscence

Risk factors: obesity, malnutrition, diabetes, steroids, immunosuppression, infection. Partial dehiscence: cover with moist saline dressings, tissue viability review. Burst abdomen (evisceration): cover bowel with moist sterile packs, call surgical team — emergency return to theatre.

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Drain & Wound Management

Surgical Drain Monitoring
Drain Output Normal Concern
ColourSerous/serosanguinousFaeculent, bile-stained, heavy blood
Volume<100 mL/day reducingSudden large output or increasing
CharacterClear, thin fluidPurulent, cloudy, opaque
VTE Prevention Protocol
  • TEDS (thromboembolic deterrent stockings) — sized correctly, knee or thigh length
  • LMWH (low molecular weight heparin) — prescribed per weight, given evening of surgery (if not contra)
  • Early ambulation — day 0 or day 1
  • Adequate hydration
  • Document VTE risk assessment on admission and post-op
Discharge Criteria (ERAS)
  • Tolerating oral fluids and light diet
  • Pain controlled on oral analgesia (score ≤3)
  • Bowel function — flatus minimum (bowel open preferred)
  • Wound dry, no signs of infection
  • Haemodynamically stable, afebrile >24h
  • Patient educated on wound care, activity, red flags to return
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Post-Op Pain Management

WHO Analgesic Ladder
Step 1

Non-opioid: Paracetamol, NSAIDs (ibuprofen, diclofenac, ketorolac)

Step 2

Mild opioid: Codeine, tramadol, dihydrocodeine

Step 3

Strong opioid: Morphine, oxycodone, fentanyl — regular + breakthrough

PCA (Patient-Controlled Analgesia) Nursing
  • Ensure IV is patent and running well before connecting PCA
  • Document: drug, concentration, bolus dose, lockout interval
  • Monitor: sedation score hourly, RR, SpO₂
  • Antiemetic prescribed alongside PCA
  • Only the patient operates the PCA button — never press for them
  • Record total consumption each shift
Epidural Analgesia Nursing
  • Sensory level check every 4h (ice cube test)
  • Blood pressure monitoring — vasodilation/hypotension risk
  • Urinary retention — catheter usually in situ
  • Check for motor block — epidural too dense = switch to PCA
  • Epidural site inspection daily — erythema, leakage
  • Analgesia team/anaesthetics review if inadequate pain control or side effects
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GCC Exam Focus: DHA (Dubai Health Authority), DOH (Department of Health Abu Dhabi), SCFHS (Saudi Commission for Health Specialties), and QCHP (Qatar Council for Healthcare Practitioners) nursing exams regularly test acute abdominal assessment, surgical scoring tools, and emergency recognition.

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Alvarado Score — Exam Reference

FeaturePoints
Migration of pain to RIF1
Anorexia or acetonuria1
Nausea or vomiting1
RIF tenderness on palpation2
Rebound tenderness in RIF1
Elevated temperature (>37.3°C)1
Leukocytosis (WBC >10×10⁹/L)2
TOTAL10
1–4 = Low probability. Observe/discharge.
5–6 = Equivocal. Admit, CT/USS.
7–10 = High probability. Surgical review.
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Ranson Criteria — Exam Format

On Admission (5 criteria)
CriterionThreshold
Age>55 years
WBC>16 × 10⁹/L
Blood glucose>11 mmol/L
LDH>350 IU/L
AST>250 IU/L
At 48 Hours (6 criteria)
CriterionThreshold
Haematocrit fall>10%
BUN rise>1.8 mmol/L
Serum calcium<2 mmol/L
PaO₂<8 kPa
Base deficit>4 mEq/L
Fluid sequestration>6 L required
0–2 pts Mild (<1% mortality)
3–4 pts Moderate (~15%)
5+ pts Severe (>40% mortality)
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Surgical Emergency Differentials by Location

Region Common Diagnoses Key Signs
RUQ (Right Upper Quadrant) Acute cholecystitis, biliary colic, hepatitis, hepatic abscess, right lower lobe pneumonia Murphy's sign, jaundice, fever
RIF (Right Iliac Fossa) Appendicitis, ovarian cyst/torsion (female), ectopic pregnancy, Crohn's, Meckel's diverticulum, psoas abscess McBurney's, Rovsing's, Psoas sign
LIF (Left Iliac Fossa) Diverticulitis, sigmoid volvulus, constipation, ovarian pathology, LIF hernia Localised guarding LIF, mass
Epigastric Peptic ulcer / perforation, acute pancreatitis, inferior STEMI, GORD, gastritis, aortic dissection Board rigidity (perf), ECG changes (STEMI)
Central / Periumbilical Early appendicitis (pain migrates), small bowel obstruction, mesenteric ischaemia, AAA Colicky (SBO), "pain out of proportion" (mesen. ischaemia)
LUQ (Left Upper Quadrant) Splenic pathology (rupture, infarct), pancreatitis (tail), gastric volvulus, left lower lobe pneumonia Kehr's sign (shoulder tip — splenic)
Generalised / Diffuse Peritonitis (any cause), perforated viscus, mesenteric ischaemia, SBP Board-like rigidity, rebound, absent bowel sounds
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GCC Exam High-Yield Questions

Q: What does Murphy's sign indicate?

A: Acute cholecystitis. Positive when patient catches breath on deep inspiration during RUQ palpation — gallbladder descends onto palpating fingers, causing pain and halting inspiration. Most specific clinical sign for cholecystitis.

Q: What is the classic AXR finding in sigmoid volvulus?

A: "Coffee bean" sign — a massively dilated sigmoid loop appearing as an inverted U or omega shape, often extending to the right upper quadrant. The apex points to the right side. Immediate endoscopic decompression is first-line management.

Q: What Alvarado score prompts surgical referral?

A: Score ≥7 indicates high probability of appendicitis and requires immediate surgical review. Score 5–6 is equivocal — admit for observation, USS/CT. Score 1–4 is low probability — consider safe discharge with safety netting instructions.

Q: What is the most common cause of bowel obstruction in adults?

A: Adhesions (from previous abdominal surgery) — account for approximately 60–70% of small bowel obstruction cases in adults. Second most common: external hernia. For large bowel obstruction: colorectal carcinoma is most common.

Q: What is the diagnostic criterion for SBP?

A: PMN (polymorphonuclear neutrophil) count >250 cells/mm³ on diagnostic paracentesis in a cirrhotic patient with ascites. Treatment: cefotaxime IV empirically. Culture may be negative — do not wait for culture results to treat.

Q: Why should analgesia NOT be withheld in acute abdomen?

A: Cochrane review evidence confirms that giving analgesia in acute abdomen does NOT impair diagnostic accuracy and significantly reduces patient suffering. The historical teaching to withhold was based on opinion, not evidence. Current NICE and surgical society guidelines recommend prompt analgesia.

Q: What is Rovsing's sign and what does it indicate?

A: Palpation of the left iliac fossa (LIF) causes pain to be felt in the right iliac fossa (RIF). Positive Rovsing's sign is associated with appendicitis. The mechanism is thought to involve shifting of peritoneal contents and gas toward the inflamed appendix.

Q: What is "pain out of proportion to examination"?

A: Classic description of mesenteric ischaemia — patient reports extreme pain but the abdomen may be soft with minimal peritoneal signs early on. This is because visceral (gut) ischaemia causes severe pain before transmural necrosis and peritonitis develop. This is a time-critical emergency with mortality >50% if delayed.

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Acute Abdominal Pain Differential Diagnosis Tool

Enter Patient Parameters

RUQ
Right Upper
LUQ
Left Upper
RIF
Right Lower
LIF
Left Lower
Epigastric
Central / Peri-umbilical
Generalised