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Gastroenterology > Abdominal Pain > Flashcards

Abdominal Pain Flashcards

1
Q

Transpyloric plane

A 
L1
Pylorus of stomach 
Neck of pancreas 
Fundus of gallbladder 
Renal Hilum
Duodenojejunal flexure
End of spinal cord
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2
Q

Subcostal plane

A

L3

Origin of inferior mesenteric artery

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3
Q

Supracristal plane

A

L4

Bifurcation of aorta

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4
Q

Right hypochondriac

A

Gallbladder

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5
Q

Epigastric

A

Stomach, duodenum and pancreas

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6
Q

Left hypochondriac

A

Pancreas or spleen

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7
Q

Right lumbar

A

Kidney

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8
Q

Umbilical

A

Small bowel, caecum, retroperitoneal structures

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9
Q

Left lumbar

A

Kidney

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10
Q

Right iliac

A

Appendix and caecum

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11
Q

Hypogastric

A

Transverse colon
Bladder
Uterus
Ovaries

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12
Q

Left iliac

A

Sigmoid colon

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13
Q

Foregut

A

Distal oesophagus to proximal half of second part of duodenum
Supplied by celiac trunk
T5-9

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14
Q

Midgut

A

Distal half of second part of duodenum to proximal 2/3 of transverse colon
Supplied by superior mesenteric artery
T10-11

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15
Q

Hindgut

A

Distal 1/3 of transverse colon to rectum
Supplied by inferior mesenteric artery
L1-2

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16
Q

Parietal peritoneum

A

Covering of abdominal wall anteriorly and abdominal cavity posteriorly

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17
Q

Visceral peritoneum

A

Covers organs

18
Q

Extra or retroperitoneal organs

A

Duodenum and pancreas

19
Q

Parietal peritoneum supply

A

Phrenic nerve supply
Central tendon to diaphragm
C3-5
Also right shoulder

Segmental inner action is T5 to L2
Umbilicus is T10

20
Q

Visceral peritoneum supply

A

Parasympathetic supply from vagus nerve - 10th cranial nerve
Also CN III, VII, IX, X
Parasympathetic receptor or sensation S2 to S4
Sympathetic autonomic chain T1 to L2

21
Q

Visceral site of pain

A

Embryological origin

Difficult to localise

22
Q

Parietal site of pain

A

Well localised

23
Q

Visceral pain character

A

Dull
Crampy
Burning

24
Q

Parietal pain character

A

Sharp

Ache

25
Q

Inflammation pain

A

Constant pain - aching
Made worse by movement
Persists until inflammation subsided

26
Q

Obstruction pain

A

Colicky pain - gripping
Fluctuates in severity
Move to try and get comfortable

27
Q

Prolonged obstruction pain

A

Cause distention
Constant stretching pain
Different from ache of inflammation and not colicky - changes to constant pain - impending ischaemia

28
Q

Right hypochondriac radiation

A

Through to back and right

29
Q

Epigastric radiation

A

Straight through to the back

30
Q

Left hypochondriac radiation

A

Through to back and left

31
Q

Right lumbar radiation

A

In loin and radiates to groin

32
Q

Umbilical radiation

A

Does not normally radiate

33
Q

Left lumbar radiation

A

In loin and radiated to groin

34
Q

Right iliac radiation

A

Rarely radiates

Pain deep in pelvis refereed to lower back/Perineum

35
Q

Hypogastric radiation

A

Rarely radiates

Pain deep in pelvis refereed to lower back/Perineum

36
Q

Left iliac radiation

A

Rarely radiates

Pain deep in pelvis refereed to lower back/Perineum

37
Q

Pain radiate signifies

A

Other structures being involved

38
Q

Visceral sensation

A

Colicky abdominal pain referred to centre

39
Q

Somatic sensation

A

Pain from parietal inflammation felt over inflamed area

40
Q

Small bowel pain

A

Doesn’t radiate but may move when somatic and well as visceral nerves become irritated

Gastroenterology (11 decks)

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