Abdominal Pain Flashcards
1
Q
Causes of pain in the Right Hypochondrium
A
Gallstones
Stomach ulcer
Pancreatitis
Basal pneumonia
2
Q
Causes of pain in the Epigastric Region
A
MI Stomach ulcer Heartburn/indigestion/reflux Acute pancreatitis Gallstones Epigastric hernia Biliary colic
3
Q
Causes of pain in the Left Hypochondrium
A
Stomach ulcer Duodenal ulcer Biliary colic Pancreatitis Splenic infarction Basal pneumonia
4
Q
Causes of pain in the Right Lumbar region
A
Renal colic (? kidney stones) Acute pyelonephritis Constipation Lumbar hernia Leaking AAA
5
Q
Causes of pain in the Umbilical region
A
Acute pancreatitis Early appendicitis Small bowel obstruction Mesenteric ischaemia Stomach ulcer Inflammatory bowel disease (Crohn's)
6
Q
Causes of pain in the Left Lumbar region
A
Renal colic (? kidney stones) Acute pyelonephritis Diverticular disease IBD Lumbar hernia Leaking AAA
7
Q
Causes of pain in the Right Iliac Fossa
A
Acute appendicitis IBD (Crohn's) Gynaecological pain - Ruptured ovarian cyst - Ruptured ectopic pregnancy - Pelvic inflammatory disease - Endometriosis Constipation Groin pain Inguinal/femoral hernia
8
Q
Causes of pain in the Suprapubic region
A
Bladder infection/acute urinary retention Acute cystitis Gynaecological pain - Ruptured ovarian cyst - Ruptured ectopic pregnancy - Endometriosis Diverticular disease IBD
9
Q
Causes of pain in the Right Iliac Fossa
A
Diverticular disease Gynaecological pain - Ruptured ovarian cyst - Ruptured ectopic pregnancy - Pelvic inflammatory disease - Endometriosis Inguinal/femoral hernia Other groin pain
10
Q
Causes of generalised abdominal pain
A
Perforated viscera Spontaneous bacterial peritonitis Diabetic ketoacidosis Addison's disease Acute intermittent porphyria Hypercalcaemia Lead toxicity
11
Q
Describe ‘visceral’ pain
A
Dull
Poorly localised
Due to noxious stimuli triggering visceral nociceptors
Roughly dermatomal distribution
12
Q
Describe ‘somato-parietal’ pain
A
Well localised
Arises from parietal peritoneum
13
Q
Describe ‘referred’ pain
A
Pain felt remote to the diseased organ
