Abdominal pain Flashcards
History of abdo pain - 8 qs
S - Site
O - Onset
C - Character
R - Radiation
A - Associated symptoms
T - Time
E - Exacerbations
S - Severity
9 Abdominal regions
Left/ right hyponchriac
Epigastric region
Left/right flank/lumbar
Umbilical region
left/ right iliac
Suprapubic/ hypogastric region
What division of the abdominal aorta supplies the foregut?
Coeliac Trunk
What division of the abdominal aorta supplies the midgut?
Superior Mesenteric Artery
What division of the abdominal aorta supplies the hindgut?
Inferior Mesenteric Artery
What group of structures cause constant pain (with 3 examples)?
Solid organs - liver, kidney, spleen
What kidney condition causes constant pain?
Pyelonephritis
a bacterial infection causing inflammation of the kidneys
What group of structures cause colicky pain (with 3 examples)?
Tubular structures - kidney stones, gall stones, small bowel/large bowel
Where does pain from gall bladder radiate to?
Through to the back and right
Where does pain from the pancreas in the epigastric region radiate?
Straight through to the back and left
Where does pain from the pancreas in the left hypochondriac region radiate to?
Through to the back and left
Where does pain from the kidneys radiate to?
Start in the loin, radiate to the groin
Where does pain from the small bowel in the umbilicus radiate to?
It does not radiate
Small bowel is 7m long, pain that is referred is diffused over a large distance and is negligible
Appendicitis presentation
Central pain then shifts to the right iliac region
gradual onset
worse on movement
Biliary colic presentation
right upper quadrant pain
sudden onset colicky pain
Gets worse after eating fatty foods because bile is used to emulsify fat
gallstones causing intermittent obstruction
