1b// Abdominal Pain Flashcards
What is SOCRATES?
Which intra-abdominal organs produce pain in the right hypochondriac region?
gallbladder and liver
Which intra-abdominal organs produce pain in the left hypochondriac region?
pancreas
Which intra-abdominal organs produce pain in the epigastric region?
stomach, duodenum and pancreas
Which intra-abdominal organs produce pain in the right lumbar region?
kidney
Which intra-abdominal organs produce pain in the left lumbar region?
kidney
Which intra-abdominal organs produce pain in the umbilical region?
small bowel
Which intra-abdominal organs produce pain in the right iliac region?
appendix and caecum
Which intra-abdominal organs produce pain in the left iliac region?
sigmoid colon
Which intra-abdominal organs produce pain in the hypogasrtic region?
bladder
uterus
adnexae
How can the GI tract be split into 3?
foregut, midgut, hindgut
What artery supplies the foregut?
coeliac trunk
What artery supplies the midgut?
superior mesenteric artery
What artery supplies the hindgut?
inferior mesenteric artery
What character of pain would you expect for a stone in the ureter?
colicky
What character of pain would you expect for the liver?
constant
What character of pain would you expect for cholelithiasis/ hepatolithiasis/ choledocholithiasis?
colicky
What character of pain would you expect for the spleen?
constant
What character of pain would you expect for the kidneys?
constant
What character of pain would you expect for the colon?
colicky
What radiation of pain would you expect for the gallbladder?
through to the back and to the right
(and right shoulder e.g., cholecystitis)
What is cholecystitis?
Cholecystitis is a redness and swelling (inflammation) of the gallbladder
Why does cholecystitis cause pain in the right shoulder?
referred pain happens because the source of pain also causes nerve irritation. In the case of gallstones, inflammation in the area irritates the large phrenic nerve. it also shares a connection with your shoulders.
What radiation of pain would you expect for the pancreas?
straight through to the back and left
What radiation of pain would you expect for the kidneys?
in loin and radiates to groin
What radiation of pain would you expect for the stomach?
doesn’t normally radiate
