Abdominal Pain
Embryology
Foregut (Oesophagus - Prox 1/4 duodenum)
Mid gut (3/4 duodenum - prox 2/3 transverse colon)
End gut (1/3 transverse colon - rectum)
Right hypochondriac
Epigastric
Left hypochondriac
Right lumbar
Umbilical
Left lumbar
Right iliac fossa
Hypogastric
Left iliac fossa
Source
AMC handbook of MCQ 2009
Foregut (Oesophagus - Prox 1/4 duodenum)
- T5-T9 dermatome (referred epigastric pain)
Mid gut (3/4 duodenum - prox 2/3 transverse colon)
- T10-T11 dermatome (referred umbilical pain)
End gut (1/3 transverse colon - rectum)
- T12-L1 dermatome (referred suprapubic pain)
Right hypochondriac
- Cholecystitis (gallstones)/ Choledocholithiasis/ Ascending cholangitis/ Cholecystitis
- Hepatitis
- Costcochondritis
- Trauma
Epigastric
- PUD
- GORD/ gastritis/ oesophageal spasm
- Acute/ chronic pancreatitis/ Pancreatic neoplasia
- AMI/ angina
- Aortic aneurysm dissection
Left hypochondriac
- Diverticulitis
- Costochondritis
Right lumbar
- Bowel obstruction/ cancer/ infection/ ileus/ IBD/ coeliac disease/ ischaemic bowel/ diverticulitis/ constipation/ IBS
- Renal calculi/ UTI/ RCC
Umbilical
- Bowel obstruction/ cancer/ infection/ ileus/ IBD/ coeliac disease/ ischaemic bowel/ diverticulitis/ constipation/ IBS
Left lumbar
- Bowel obstruction/ cancer/ infection/ ileus/ IBD/ ischaemic bowel/ diverticulitis/ constipation/ IBS
- Renal calculi/ UTI/ RCC
Right iliac fossa
- Acute appendicitis
- Bowel obstruction/ cancer/ infection/ ileus/ IBD/ coeliac disease/ ischaemic bowel/ diverticulitis/ constipation/ IBS
- Renal calculi/ UTI/ RCC
- Ectopic pregnancy/ ovarian cyst rupture/ ovarian cancer/ salpingitis
Hypogastric
- Bowel obstruction/ cancer/ infection/ ileus/ IBD/ coeliac disease/ ischaemic bowel/ diverticulitis/ constipation/ IBS
- Testicular torsion
- Endometritis/ endometriosis/ dysmenorrhoea
Left iliac fossa
- Bowel obstruction/ cancer/ infection/ ileus/ IBD/ coeliac disease/ ischaemic bowel/ diverticulitis/ constipation/ IBS
- Renal calculi/ UTI/ RCC
- Ectopic pregnancy/ ovarian cyst rupture/ ovarian cancer/ salpingitis
Source
AMC handbook of MCQ 2009