Abdominal Pain Flashcards

1
Q

what are the most important properties of pain?

A

site

character

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2
Q

what are the different abdominopelvic regions?

A
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3
Q

what are the different abdominal planes?

A
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4
Q

what is the anatomy in the transpyloric plane? -L1

A
  • Pylorus of Stomach
  • Neck of Pancreas
  • Fundus of Gallbladder
  • Renal Hilum
  • Duodenojejunal Flexure
  • End of Spinal Cord (adult)
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5
Q

what is the anatomy at the subcostal planeL3?

A

origin of inferior mesenteric artery

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6
Q

what is the anatomy in line with the supracristal plane- L4?

A

bifurication of the aorta

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7
Q

what are the common organs affected in each region of the abdomen?

A
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8
Q

what are the different areas of the gut and the contents?

A
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9
Q

does small bowel pain change?

A

does not radiate

does move when somatic and visceral nerves are irritated

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10
Q

what are the different areas of peritoneum?

A
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11
Q

what spinal cord roots innervate different areas of the gut?

A
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12
Q

for visceral and parietal, what is the:

  1. innervation
  2. site of pain
  3. character

for the foregut, midgut and hindgut, what is the innervation and site of pain?

A
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13
Q

what are the characteristics of inflammation pain?

A

constant pain ‘aching’

made worse by movement

persists until inflammation subsides

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14
Q

what are the characteristics of obstruction of muscular tube?

A

colicky pain ‘gripping’

fluctuates in severity

move to try and get comfortable

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15
Q

what are the pain features of prolonged obstruction of a hollow viscus?

A

causes distension

constant stretching pain

different from ache of inflammation & not colicky- ischamia?

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16
Q

what is the character of pain in the following organs?

  1. bladder
  2. liver
  3. gallbladder
  4. epigastric
  5. kidneys
  6. gut
A
  1. bladder- colicky
  2. liver- constant
  3. gallbladder- colicky
  4. epigastric- constant
  5. kidney- constant
  6. gut- colicky
17
Q

what are the different types of colic?

A
18
Q

how does the top layer of gut radiate?

A
19
Q

how does the middle abdomen radiate?

A
20
Q

how does lower abdominal pain radiate?

A
21
Q

where does colicky abdo pain refer to?

A

centre (visceral sensation)

22
Q

where is pain from parietal inflamation felt?

A

over inflamed area (somatic sensation)

23
Q

what does pain radiation signify?

A

other structures are becoming involved

24
Q

what are the general causes of pain in different areas of the abdomen?

A