Abdominal Emergencies Flashcards
The two layers of Peritoneum
Visceral and Parietal
Visceral Peritoneum
Covers the organs
Parietal Peritoneum
Attached to the Abdominal wall
Visceral Pain
Originates in the organs within the abdomen
Pain describe as dull achy or intermittent and be diffuse hard to locate
Visceral pain of hollow organs of abdomen
Intermittent, crampy, or colicky
Visceral Pain from Solid organs
Dull and Persistent
Hollow Organs
Esophagus, Stomach, Small and Large, Appendix, Gallbladder, Bladder
Solid Organs
Liver, Spleen, Pancreas, Kidneys
Parietal Pain
Starts from parietal peritoneum aka peritoneal tenderness
More widespread, easily located
Direct result of local irritation
Irritation; blood, infection/ inflammation,
Pain sharp or constant and worse when moving vs still knees up
Tearing pain
Not common pain
Aorta and stomach feel this
Ulcers in stomach
Bleed heavily
Referred pain
Pain felt not at original location but somewhere else
Ex) gallbladder pain is felt at right shoulder
Ex) Ectopic Pregnancies also shoulder complain
Retroperitoneal space (extra peritoneal space)
Area btw the abdomen and the back
Ex) Pancreas, Kidneys, Aorta
Appendicitis
Infection of Appendix
Sign symptoms; nausea and vomiting
Pain in umbilicus firts then persistent pain in RLQ
Ectopic Pregnancy
A pregnancy developing outside of the uterus
Organs Enclosed in Peritoneum
Stomach, Liver, Spleen, Appendix, Small and LArge
Women; Uterus, Fallopian tubes, Ovaries