Phys Clinical Cases · general-medicine
Undifferentiated Presentations Abdominal Pain — DCE Clinical Case
DCE long-case and short-case station for Undifferentiated Presentations Abdominal Pain.
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Target exams
Undifferentiated Presentations Abdominal Pain — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Undifferentiated Presentations Abdominal Pain. [1]
Presenting complaint: Subacute or acute symptoms referable to Undifferentiated Presentations Abdominal Pain, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Undifferentiated Presentations Abdominal Pain, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Leung E, Islam S, Van Wyk M, Ng ZQ, et al. Undifferentiated embryonal sarcoma of the liver presenting as a complex mixed solid-cystic hepatic lesion in a young adult: A case report Radiol Case Rep, 2026.PMID 42011342
- [2]Fujii TY, Kimura T, Nakatsuka S Adult Primary Hepatic Sarcoma Presenting as a Chronic Expanding Hematoma Surg Case Rep, 2026.PMID 41859129
- [3]Lugata J, Smith C, Nzota F, Mayengela A, et al. Metastatic high-grade undifferentiated ovarian carcinoma: A case report from Sub-Saharan Africa Gynecol Oncol Rep, 2026.PMID 41704940
- [4]Broder JS, Oliveira J E Silva L, Bellolio F, Freiermuth CE, et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department 2 (GRACE-2): Low-risk, recurrent abdominal pain in the emergency department Acad Emerg Med, 2022.PMID 35543712
- [5]Carpenter CR, Griffey RT, Mills A, Doering M, et al. Repeat computed tomography in recurrent abdominal pain: An evidence synthesis for guidelines for reasonable and appropriate care in the emergency department Acad Emerg Med, 2022.PMID 34897917
- [6]Luria L, Nguyen J, Zhou J, Jaglal M, et al. Manifestations of gastrointestinal plasmablastic lymphoma: a case series with literature review World J Gastroenterol, 2014.PMID 25206297
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005