Abdominal Pain Flashcards
two most significant properties of pain?
site
character
how to assess pain
site onset character radiation associations time course exacerbating/relieving factors severity
what planes form the abdominopelvic regions?
transpyloric plane
interspinous plane
list other abdominal planes
subcostal
supracristal
intertubercular
transpyloric plane cuts through?
pylorus of stomach, neck of pancreas, fundus of gallbladder, renal hilum, duodenojejunal flexure
subcostal plane cuts through?
origin of inferior mesenteric artery
supracristal plane cuts through?
bifurcation of aorta
what organs in right hypochondriac region?
liver
gallbladder
what organs in epigastric region?
stomach
duodenum
pancreas
what organs in left hypochondriac region?
pancreas
what organs in right lumbar region?
kidney
what organs in umbilical region?
small bowel
caecum
retroperitoneal structures
what organs in left lumbar region?
kidney
what organs in right iliac region?
appendix
caecum
what organs in hypogastric region?
tx colon
bladder
uterus
what organs in left iliac region?
sigmoid colon
describe the radiation of small bowel pain
usually doesnt radiate
does MOVE when somatic/visceral nerves are irritated
foregut is made up of?
distal oesophagus > proximal half of 2nd part of duodenum
midgut is made up of?
distal half of the 2nd part of duodenum > proximal 2/3 of transverse colon
hindgut is made up of?
distal 1/3 of transverse colon > rectum
foregut/midgut/hindgut general blood supply?
superior/middle/inferior mesenteric artery
innervation of parietal peritoneum
phrenic nerves
segmental innervation from T6 - L3
innervation of the visceral peritoneum
vagus nerve
T6-L3 innervation through coeliac, superior mesenteric and inferior mesenteric plexuses
character of visceral pain
dull
crampy
burning
