Abdominal Pain

Question 1

What type of pain? Vague, poorly localized.

Answer 1

Visceral

Question 2

What type of pain? Usually well localized.

Answer 2

Parietal (Somatic)

Question 3

What type of pain? Localized to area remote from affected organ.

Answer 3

Referred

Question 4

What type of pain? Often occurs in epigastrium, periumbilical, and lower abdomen.

Answer 4

Visceral

Question 5

What type of pain? Pain is usually sharp.

Answer 5

Parietal (Somatic)

Question 6

What type of pain? Mediated through nerve fibers located in walls of hollow organs.

Answer 6

Visceral

Question 7

What type of pain? Follows dermatones.

Answer 7

Parietal (Somatic)

Question 8

What type of pain? Generated by inflammation, ischemia, or distention.

Answer 8

Visceral

Question 9

What type of pain? Initiated by chemical or bacterial inflammation.

Answer 9

Parietal (Somatic)

Question 10

What type of pain? Sharper, localized, constant.

Answer 10

Parietal (Somatic)

Question 11

What type of pain? Shoulder pain from a splenic injury.

Answer 11

Referred

Question 12

What type of pain? Accompanied by N/V, pallor, diaphoresis.

Answer 12

Visceral

Question 13

What type of pain? Aggravated by cough or movement.

Answer 13

Parietal (Somatic)

Question 14

What type of pain? Shoulder pain from gallbladder issues.

Answer 14

Referred

Question 15

What type of pain? If the peritoneum is irritated, + guarding and rebound.

Answer 15

Parietal (Somatic)

Question 16

What type of pain? If involved organ is affected by peristalsis, pain is described as intermittent, crampy, or colicky in nature.

Answer 16

Visceral

Question 17

Appendicitis presents what kind of pain?

Answer 17

Early presentation is visceral, often in the periumbilical area. Then it localizes to the RLQ (parietal/somatic).

Question 18

What type of pain? Kehr’s sign.

Answer 18

Referred