Ouchy, my belly! SAQ added anonymously 

 
This SAQ is worth 13 marks

A 40 year old woman presents to your emergency department with right side abdominal pain.

Her relevant vital signs are:

HR 110 beats/min
BP 96/70 mmHg
Temperature 39 C

View attached:  Attachment 1

Question 1.
What is the diagnosis? Provide two (2) radiological features to support your diagnosis.
(3 marks)

Diagnosis:

___________________________________________________________________________

1. _______________________________________________________________________________

2. _______________________________________________________________________________



Question 2.
Name an incidental abnormality also on this abdominal CT. (1 marks)


______________________________________________________________________________



Question 1.
Name one (1) CT finding which, if present, would suggest the need for an emergent operation for this condition.
(1 marks)


_______________________________________________________________________________



Question 1.
Complete the table below by listing four (4) important management tasks (specify details and drugs if appropriate).
(8 marks)

   Management tasks Details
1    
2    
3    
4    



 
This SAQ is worth 13 marks

A 40 year old woman presents to your emergency department with right side abdominal pain.

Her relevant vital signs are:

HR 110 beats/min
BP 96/70 mmHg
Temperature 39 C

Question 1.
What is the diagnosis? Provide two (2) radiological features to support your diagnosis.
(3 marks)

Examiner Comments: Features of poor answers included:

  • Making the wrong diagnosis. This should have been relatively predictable on the basis of the clinical scenario alone
  • Little or no answer at all

 



Question 2.
Name an incidental abnormality also on this abdominal CT. (1 marks)



Question 1.
Name one (1) CT finding which, if present, would suggest the need for an emergent operation for this condition.
(1 marks)



Question 1.
Complete the table below by listing four (4) important management tasks (specify details and drugs if appropriate).
(8 marks)




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abdominal   pain   CT   abdomen   ACEM_2015.1