Phys Vivas · general-medicine
Undifferentiated Presentations Abdominal Pain — Viva Defence
DCE viva defence for Undifferentiated Presentations Abdominal Pain.
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Target exams
Undifferentiated Presentations Abdominal Pain Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Undifferentiated Presentations Abdominal Pain. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [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