Abdominal Pain Flashcards
Explain visceral pain?
- distension, inflammation or ischaemia in hollow vicious and solid organs
- dull poorly localised and perceived in the middle
- embryological origin
Explain parietal pain?
- localised to the dermatome above the site of the stimulus
Explain referred pain?
- produces symptoms but not signs
- well localised but felt in distant areas of the same cutaneous dermatome
Where are the receptors for somato parietal pain located?
- parietal peritoneum
- muscle
- skin
Pain in the right hypochondria region could be?
- gallstones
- stomach ulcer
- pancreatitis
Pain in the epigastric region could be?
- stomach ulcer
- heart burn/indigestion
- epigastric hernia
Patient motionless, in fetal position, hollow respiration and rebound tenderness???
- peritonitis
High pitched tinkles osculated in abdomen?
- mechanical obstruction
Epigastric pain radiating to the pack?
- AAA
- Acute pancreatitis
Bowel sounds absent?
- ileus
What blood test should you always do when a patient presents with abdominal pain?
- amylase
- check for pancreatitis
When should an MRI be conducted in the presence of abdominal pain?
- pregnant woman with suscpected appendicitis
How do you treat a volvulus?
- decompress using rigid sigmoidoscope
How do you treat a malignant obstruction?
- stent or operate
How do you treat diverticulitis
- spectrum from antibiotics to Hartman’s procedure
