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BRS Year 2 > Abdominal pain > Flashcards

Abdominal pain Flashcards

1
Q

What structures are in the transpyloric plane L1 (6)

A
  1. Pylorus of Stomach
  2. Neck of Pancreas
  3. Fundus of Gallbladder
  4. Renal Hilum
  5. Duodenojejunal Flexure
  6. End of Spinal Cord (adult)
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2
Q

what structures are in the subcostal plane? L3

A

origin of IMA (3 letters = L3)

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3
Q

what structures are in the supracritsal plane? L4

A

bifurcation of the aorta (L4 for 4 chambers of the heart)

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4
Q

what organ corresponds to pain in the right hypochondriac region?

A

gallbladder

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5
Q

which organs corresponds to pain in the epigastric region?

A

stomach, duodenum, pancreas

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6
Q

what organ corresponds to pain in the left hypochondriac region?

A

pancreas

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7
Q

what organ corresponds to pain in the right lumbar region?

A

kidney

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8
Q

what organ corresponds to pain in the left lumbar region?

A

kidney

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9
Q

which organs corresponds to pain in the umbilical region?

A
  • small bowel
    caecum
  • retroperitoneal structures
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10
Q

which organs corresponds to pain in the right iliac region?

A

appendix and caecum

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11
Q

which organs corresponds to the hypogastric region of the abdomen?

A
  • Tx colon
  • Bladder
  • Uterus and adnexae
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12
Q

which organs corresponds to pain in the left iliac region?

A

sigmoid colon

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13
Q

does small bowel pain usually radiate?

A

no

-> moves when somatic and when visceral nerves are irritated

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14
Q

innervation to visceral peritoneum from ?

A

T6 -> L3
Vagus nerve
S2-S4

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15
Q

innervation to parietal peritoneum from ?

A

T6-> L3

phrenic nerves

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16
Q

character of visceral pain?

A

dull, crampy, burning

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17
Q

character of parietal pain?

A

sharp, ache

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18
Q

innervation of sensation to foregut from?

A

T5 -> T9

19
Q

innervation of sensation to midgut from?

A

t10->t11

20
Q

innervation of sensation to HINDgut from?

A

L1-L2

21
Q

where is the site of foregut pain?

A

epigastrium

22
Q

where is the site of midgut pain?

A

umbilical

23
Q

where is the site of hindgutpain?

A

hypogastrium

24
Q

the two most painful abdomen conditions

A
  1. inflammation

2. obstruction of a muscular tube

25
Q

features of inflammation pain

A
  • constant pain
  • worse by movement
  • persists until inflammation subsides
26
Q

features of obstruction of a muscular tube

A
  • colicky pain
  • fluctuates in severity
  • move to try and get comfy
27
Q

pain caused by prolonged obstruction of a hollow viscus causing distension:

A
  • constant stretching pain

- different rom ache of inflammation and not colicky

28
Q

organs which present with colicky pain

A
  1. kidneys - stones
  2. gall bladder- stones
  3. intestines (obstruction)
29
Q

organs which present with constant pain

A
  1. liver
  2. spleen
  3. kidney
30
Q

how does gall bladder pain radiate (upper zone)

A

through to the back and right

31
Q

how does pancreas pain radiate (upper zone)

A

through to the back and left

32
Q

how does stomach, duodenum and pancreas pain radiate (upper zone)

A

straight through to the back

33
Q

how does kidney pain radiate (central zone)

A

in loin and radiates to groin

34
Q

how does small bowel, caecum and retroperitoneal structure pain radiate (central zone)

A

doesn’t normally

35
Q

how does lower zone pain radiate?

A
  • rarely radiates

inc structures like sigmoid colon, transverse colon, bladder, uterus, adnexae, appendix and caecum

36
Q

What can pain in the right hypochondriac indicate?

A

Gallstones
Cholangitis
Hepatitis
Liver abscess

37
Q

What can pain in the epigastric region indicate?

A 
Oesophagitis
Peptic ulcer
Perforated ulcer
Pancreatitis
Biliary tract disease
38
Q

What can pain in the left hypochondriac indicate?

A

Splenic abscess
Acute splenomegaly
Splenic rupture

39
Q

What can pain in the left lumbar indicate?

A 
Renal colic
Pyelonephritis
Ovarian cyst
Ovarian mass
Ovarian torsion
40
Q

What can pain in the umbilical region indicate?

A

Appendicitis (early)
Mesenteric adenitis (often affects lymph nodes)
Meckel’s diverticulitis

41
Q

What can pain in the right lumbar indicate?

A 
Renal colic
Pyelonephritis
Ovarian cyst
Ovarian mass
Ovarian torsion
42
Q

What can pain in the right iliac indicate?

A 
Appendicitis (late)
Crohn's disease
Ovarian cyst/torsion
Ectopic pregnancy
Hernias
Renal colic
43
Q

What can pain in the hypogastrium indicate?

A

Urinary retention
Cystitis
Uterine fibroid
Endometriosis

44
Q

What can pain in the left iliac indicate?

A 
Diverticulitis
Ulcerative colitis
Constipation
Ovarian cyst/ torsion
PID
Ectopic pregnancy
Hernias
Renal colic

BRS Year 2 (110 decks)

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