QuestionSBA
QuestionChoice
This is the correct answer as the history is indicative of peritonitis - generalized abdominal pain with guarding that localises to an area.
10002581
a
Peritonitis
QuestionChoice
This is unlikely to be pancreatitis, as pancreatitis localises in the epigastric region and the pain radiates to the back.
10002585
e
Pancreatitis
QuestionChoice
This is an unlikely diagnosis as the pain has localised in the left iliac fossa. Ascending Cholangitis localises in the right hypochondrium.
10002584
d
Ascending Cholangitis
QuestionChoice
Whilst a good differential to have in mind, there is no mention of right iliac fossa pain, which would lean the diagnosis to appendicitis.
10002582
b
Appendicitis
QuestionChoice
Whilst a good differential to have, given this patients' age it is unlikely to be an ectopic pregnancy.
10002583
c
Ectopic Pregnancy
Concept
Chapter
2693
4054
Peritonitis
Topic
136
Gastroenterology
13063
A 68-year-old female has been admitted to the Acute Surgical Unit following severe generalised abdominal pain, accompanied by fever and vomiting. The patient reported that the pain has now localised to the left iliac fossa and is very severe. On examination, it is noted the patient is tachycardic and there is diffuse abdominal guarding.

What is the most likely diagnosis?
a