SAQ Stack : Gastrointestinal
Short Answer Questions for ED Fellowship Study
Paediatric intussusception
A 12-month-old boy presents to the ED with abdominal pain. You suspect intussusception.
Decompensated alcoholic liver disease
A 42-year-old male with known alcoholic liver disease who is still drinking alcohol is brought in by relatives with a …
Pruritis
A 70-year-old woman presents with a one-week history of pruritus. She is normally well and does not take any regular …
Perianal abscess
A 45-year-old male presents to your emergency department with a three-day history of worsening perianal pain. He describes a dull, …
Acute mesenteric ischaemia
A 78-year-old male presents with 16 hours of severe colicky abdominal pain and diarrhoea. You are concerned he has intestinal …
Haemorrhagic colitis
You are the Emergency Consultant in a major referral centre. A 23 year old male presents with a 3 day …
Projectile vomiting in an infant
A 5-week-old boy is brought to the emergency department with projectile vomiting.
Gastroenteritis
A husband and wife present to the emergency department after a date night at a restaurant. Shortly after returning home, …
Elderly abdominal pain
An 80-year-old patient from a high-level care nursing home presents with constipation, abdominal distension and confusion.
Suspected acute cholecystitis with normal blood tests
A 40-year-old woman presents with right upper quadrant pain. Despite normal laboratory results, acute cholecystitis is suspected and bedside ultrasound …
Severe abdominal pain in a school-aged child
A 12-year-old boy presents with severe abdominal pain and vomiting. On arrival he is groaning and pale with the following …
Decompensated cirrhosis with ascites
A 57-year-old patient with alcoholic liver cirrhosis presents with abdominal pain, tense ascites and fever. Vital signs are as follows …
Jaundice
A 47-year-old male presents to your ED complaining of a change in his skin colour. He has no known past …
Neonatal bilious vomiting
A 2-week-old male infant has presented to a regional mixed ED with 3 episodes of vomiting over the past 24 …
Haematemesis
A 60-year-old man has presented to your ED with a history of haematemesis. He is a chronic alcoholic. Vitals are …
Abdominal pain
A 65-year-old man presents with central abdominal pain radiating to the back, associated with nausea and vomiting. He appears unwell. …
Checkpoint inhibitor colitis
A 63-year-old male comes into your ED. Hey! You’ve met him before; metastatic melanoma, brain mets, pretty much coning then, …
Child with PR bleeding
The concerned parents of a 4-year-old boy have presented to your urban district hospital with their son who complains of …
Thrombosed haemorrhoid
A 30-year-old male with perianal pain attends your rural emergency department. On examination, you find a thrombosed external haemorrhoid.
Fever and pain post scopes
A 52-year-old man presents to your district hospital at 2000h with SOB, abdominal pain and fever. He has had an …
Small bowel obstruction
A 60-year-old woman presents to your Emergency Department with two days of increasing abdominal pain and vomiting. She has no …
RIF pain
A 34-year-old female has been brought in by ambulance to your tertiary hospital with right iliac fossa pain. She appears …
Confusion and jaundice
A 56-year-old male presents with acute confusion and visible jaundice after returning two weeks ago from an international conference. He …
Melaena
A 76-year-old woman has been brought in from home with melaena. She has a background of hypertension, ischaemic heart disease …