Abdominal Pain TBL

Question 1

components of foregut?

Answer 1

oesophagus
stomach
1st part of duodenum
biliary tree

Question 2

what is the collateral supply to the colon?

Answer 2

marginal artery covers anastomoses between superior and inferior mesenteric

Question 3

psychokinesis?

Answer 3

psychic ability to influence a system without a physical problem

Question 4

true or false, visceral pain is caused by the stretching of hollow viscus or capsule of solid viscus?

Answer 4

true

Question 5

paraietal abdominal pain is caused by irritation of fibres that innervate the parietal peritoneum, true or false?

Answer 5

true

Question 6

pain or discomfort that is perceived at a site distant from the affected organ is because of overlapping transmission pathways, true or false?

Answer 6

true

Question 7

why is visceral abdominal pain often dull and achy?

Answer 7

nerves that innervate the organs enter the spinal cord at several levels

Question 8

why is parietal pain localised and sharp?

Answer 8

caused by irritation of fibres that innervate the parietal peritoneum
can be localised to a specific dermatome

Question 9

where does subdiaphragmatic pain refer to?

Answer 9

ipsilateral supraclavicular or shoulder pain

Question 10

where does gynaecological pain refer?

Answer 10

back or lower proximal

Question 11

when are plain film X rays not useful?

Answer 11

constipation

can be used for obstruction/ileus, volvulus, free air and radiopaque foreign bodies

Question 12

BAT CHIPS

Answer 12

radiopaque foreign bodies:
barium
antihistamines
tricyclic antidepressants
chloral hydrate ..........
.
.
.
.

Question 13

which type of ulcer is relieved by eating?

Answer 13

duodenal relieved by food and milk

gastric is aggravated by food

Question 14

what investigation for duodenal/gastric ulcer?

Answer 14

upper GI endoscopy

faecal antigen for H. pylori

Question 15

Acute small bowel ischaemia?

Answer 15

investigate via CT angiogram