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BRS GASTROENTEROLOGY > 1b Abdominal Pain > Flashcards

1b Abdominal Pain Flashcards

1
Q

Pain in the right hypochondriac region refers to which organs?

A

Gall Bladder and liver

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2
Q

Pain in the epigastric region refers to which organs?

A

Stomach, duodenum and Pancreas

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3
Q

Pain in the left hypochondriac region refers to which organs?

A

Pancreas

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4
Q

Pain in the right lumbar region refers to which organs?

A

Kidney

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5
Q

Pain in the umbilical region refers to which organs?

A

Small bowel

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6
Q

Pain in the left lumbar region refers to which organs?

A

Kidney

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7
Q

Pain in the right iliac region refers to which organs?

A

appendix and caecum

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8
Q

Pain in the hypogastric region refers to which organs?

A

Uterus, bladder and adnexae

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9
Q

Pain in the left iliac region refers to which organs?

A

Sigmoid colon

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10
Q

What is the blood supply to the foregut?

A

Coeliac trunk

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11
Q

What is the blood supply to the midgut?

A

Superior Mesenteric Artery

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12
Q

What is the blood supply to the Hindgut?

A

Inferior Mesenteric Artery

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13
Q

What is the site of referred pain from the diaphragm?

A

Phrenic nerve has sensory supply and covers diaphragm and right shoulder— sites of referred pain

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14
Q

What is the visceral sensory innervation in the foregut?

A

T5-T9

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15
Q

What is the visceral sensory innervation in the midgut?

A

T10-T11

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16
Q

What is the visceral sensory innervation in the hindgut?

A

L1-L2

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17
Q

What is the innervation of parietal peritoneum?

A

Somatic

18
Q

What is the innervation of visceral?

A

Autonomic - so sympathetic / parasympathetic

19
Q

What is the site of pain when the visceral peritoneum is involved?

A

Embryological origin

20
Q

What is the site of pain when the parietal peritoneum is involved?

A

Well-localised

21
Q

What is the character of pain when the visceral peritoneum is involved?

A

Dull, crampy, Burning

22
Q

What is the character of pain when the parietal peritoneum is involved?

A

Sharpe ache

23
Q

What are some examples of causes of colicky pain?

A

Kidney stones, gallstones in ducts, bowel obstruction

24
Q

What are some examples of constant abdominal pain?

A

Liver problem, spleen problem, pyelonephritis

25
Q

What might be the cause of abdominal pain which is constant, worsened by movement and continual?

A

INFLAMMATION
Constant pain (‘aching’)
* Made worse by movement (always ask this)
* Persists until inflammation subsides

26
Q

What might be the cause of abdominal pain which is Colicky pain (‘gripping’), Fluctuates in severity - intense then relaxes and patients may move to try and get comfortable?

A

Obstruction of a muscular tube:

27
Q

What is a key warning sign?

A

A change in the type of pain the patient is experiencing

28
Q

What is the differences between the types of colicky pain?

A
  • ureteric colic - relatively frequent and very intense pain
  • intestinal colic - more frequent and less
    intense pain
  • biliary ‘colic’ - patients describe as being constant as pain lasts a long time before it relaxes
29
Q

How does pain from the gall bladder radiate?

A

Through to the back and to the right

30
Q

How does pain from the pancreas radiate?

A

Through to the back and to the left

31
Q

How does pain from the stomach and duodenum radiate?

A

straight through to the back

32
Q

How does pain from the kidney usually radiate?

A

In the loin, to the groin

33
Q

Pain from which structures usually doesn’t radiate?

A

Small Bowel
Caecum
retroperitoneal Structures

34
Q

Colicky pain becomes constant. What does this suggest?

A

The bowel is becoming ischaemic

35
Q

Pain shifting from the center to the right iliac fossa. Worse on movement. Nausea?

A

Appendicitis

36
Q

What is the most common cause of a small bowel obstruction?

A

Adhesion - scarring tissue

37
Q

Central colicky pain, with vomiting and no bowel movements, passing gas relieves pain?

A

Small bowel obstruction

38
Q

Colicky pain, sudden onsent, starting in the loin, radiating to the groin, cannot find a comfortable position, very severe pain?

A

Uteretic colic / kidney stones

39
Q

Sudden onset colicky pain in the right shoulder after eating fatty foods?

A

Biliary colic -

Gallbladder
* Fits in with stone
* Fat stimulates CCK release and gallbladder contraction * More painful

40
Q

What other condition can give a loin to groin presentation?

A

Abdominal aortic aneurysm

BRS GASTROENTEROLOGY (25 decks)

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