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hmmmmmmmm1
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With regards to red flags for an abdominal history-taking/examination are these the only ones I need to know: 1. weight loss. 2. bleeding from top or bottom 3. change in bowel habits 4. jaundice
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Es0phagus
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looks good, perhaps anemia (if male >60)?
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Anonymous #1
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ALARMS
Anemia
Loss weight
Anorexia
Rapid progression
Malena/haemoptysis
Swallow difficulty

Plus
Over 55
Family history
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Ghotay
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That's much too general a question to really answer. 'Abdominal' encompasses a HUGE number of presentations. What are you looking for? Decompensated liver disease? Mesenteric ischaemia? Malignancy? Ectopic pregnancy?

To be honest even the red flags you have listed are very context-dependent. You would expect a patient with d+v or even a UTI to have a degree of anorexia - people don't eat much when they're feeling rubbish. Bleeding if it's a proper haematemesis or melena then yeah. But the most common causes of rectal bleeding are haemorrhoids and angiodysplasia, both of which are pretty benign. You can also get oesophageal tears at the top which aren't usually serious. Weight loss needs to be considered seriously, but is a very nonspecific sign. Elderly people often have anorexia and weight loss that is 'normal' for them.

Honestly the biggest red flag with abdominal presentations, to me at least, is PAIN. How sore are they? Bit sore? Quite sore? Or are they leaping off the bed when you touch them sore? I mean this is in the context of ?surgical abdomen which obviously isn't going to come up in your OSCEs, but is probably more important for real-life medicine...
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nexttime
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(Original post by Es0phagus)
looks good, perhaps anemia (if male >60)?
Only males? And only >60?
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Es0phagus
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(Original post by nexttime)
Only males? And only >60?
haha, I guess not, but especially that
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