Abdominal Pain

Question 1

What are the 8 questions asked from abdominal pain?

Answer 1

Site of pain
Onset
Character
Radiation
Associations
Time course
Exacerbating/relieving factors
Severity

Question 2

What organs can be found in the 9 abdominopelvic regions?

Answer 2

Question 3

Outline the 3 main divisions of the gut and their vasculature

Answer 3

Foregut- celiac trunk
Midgut-superior mesenteric artery
Hindgut-inferior mesenteric artery

Question 4

Which organs produce colicky and constant pain?

Answer 4

Colicky-ureter, pancreas, intestines
Constant- spleen, kidney, liver

Question 5

Describe the radiation that can be felt of the following abdominal organs:
Gall bladder
Pancreas in epigastric region
Pancreas in left hypochondriac region
Kidneys
Does the SB radiate? Why/why not?

Answer 5

No because it’s 7M long so the pain is diffused over a large distance

Question 6

Why can gall bladder inflammation (cholecystisis) cause pain in the shoulder and right hypochondriac pain?

Answer 6

Referred pain, visceral nerves from the phrenic nerve supply both the shoulder and the gall bladder, so the pain is felt in both places