Abdominal Pain Flashcards
what are the most important properties of pain?
site
character
what are the different abdominopelvic regions?
what are the different abdominal planes?
what is the anatomy in the transpyloric plane? -L1
- Pylorus of Stomach
- Neck of Pancreas
- Fundus of Gallbladder
- Renal Hilum
- Duodenojejunal Flexure
- End of Spinal Cord (adult)
what is the anatomy at the subcostal planeL3?
origin of inferior mesenteric artery
what is the anatomy in line with the supracristal plane- L4?
bifurication of the aorta
what are the common organs affected in each region of the abdomen?
what are the different areas of the gut and the contents?
does small bowel pain change?
does not radiate
does move when somatic and visceral nerves are irritated
what are the different areas of peritoneum?
what spinal cord roots innervate different areas of the gut?
for visceral and parietal, what is the:
- innervation
- site of pain
- character
for the foregut, midgut and hindgut, what is the innervation and site of pain?
what are the characteristics of inflammation pain?
constant pain ‘aching’
made worse by movement
persists until inflammation subsides
what are the characteristics of obstruction of muscular tube?
colicky pain ‘gripping’
fluctuates in severity
move to try and get comfortable
what are the pain features of prolonged obstruction of a hollow viscus?
causes distension
constant stretching pain
different from ache of inflammation & not colicky- ischamia?
what is the character of pain in the following organs?
- bladder
- liver
- gallbladder
- epigastric
- kidneys
- gut
- bladder- colicky
- liver- constant
- gallbladder- colicky
- epigastric- constant
- kidney- constant
- gut- colicky
what are the different types of colic?
how does the top layer of gut radiate?
how does the middle abdomen radiate?
how does lower abdominal pain radiate?
where does colicky abdo pain refer to?
centre (visceral sensation)
where is pain from parietal inflamation felt?
over inflamed area (somatic sensation)
what does pain radiation signify?
other structures are becoming involved
what are the general causes of pain in different areas of the abdomen?
