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Gastroenterology > Abdominal Pain > Flashcards

Abdominal Pain Flashcards

1
Q

two most significant properties of pain?

A

site

character

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2
Q

how to assess pain

A 
site
onset
character
radiation
associations
time course
exacerbating/relieving factors
severity
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3
Q

what planes form the abdominopelvic regions?

A

transpyloric plane

interspinous plane

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4
Q

list other abdominal planes

A

subcostal
supracristal
intertubercular

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5
Q

transpyloric plane cuts through?

A

pylorus of stomach, neck of pancreas, fundus of gallbladder, renal hilum, duodenojejunal flexure

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6
Q

subcostal plane cuts through?

A

origin of inferior mesenteric artery

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7
Q

supracristal plane cuts through?

A

bifurcation of aorta

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8
Q

what organs in right hypochondriac region?

A

liver

gallbladder

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9
Q

what organs in epigastric region?

A

stomach
duodenum
pancreas

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10
Q

what organs in left hypochondriac region?

A

pancreas

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11
Q

what organs in right lumbar region?

A

kidney

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12
Q

what organs in umbilical region?

A

small bowel
caecum
retroperitoneal structures

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13
Q

what organs in left lumbar region?

A

kidney

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14
Q

what organs in right iliac region?

A

appendix

caecum

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15
Q

what organs in hypogastric region?

A

tx colon
bladder
uterus

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16
Q

what organs in left iliac region?

A

sigmoid colon

17
Q

describe the radiation of small bowel pain

A

usually doesnt radiate

does MOVE when somatic/visceral nerves are irritated

18
Q

foregut is made up of?

A

distal oesophagus > proximal half of 2nd part of duodenum

19
Q

midgut is made up of?

A

distal half of the 2nd part of duodenum > proximal 2/3 of transverse colon

20
Q

hindgut is made up of?

A

distal 1/3 of transverse colon > rectum

21
Q

foregut/midgut/hindgut general blood supply?

A

superior/middle/inferior mesenteric artery

22
Q

innervation of parietal peritoneum

A

phrenic nerves

segmental innervation from T6 - L3

23
Q

innervation of the visceral peritoneum

A

vagus nerve

T6-L3 innervation through coeliac, superior mesenteric and inferior mesenteric plexuses

24
Q

character of visceral pain

A

dull
crampy
burning

25
Q

character of parietal pain

A

sharp

ache

Gastroenterology (9 decks)

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