Acute Abdomen Flashcards
What is the typical duration of acute abdomen?
less than 10 days
Describe the spinal levels than innervate the abdomen
Somatic:
skin T5-L2
diaphragm - C3-C5
Autonomic:
sympathetic via presacral and splanchnic plexus
L1-L2 and T6-T12
Hollow and solid viscera
Where does pain from the foregut, midgut and hindgut refer to ?
foregut- epigastic
Midgut-umbelical
Hindgut- suprapubic
WHere is the pain referred to from the appendix?
initially umbelical region
after to the right inguinal (when the inflammation involves the parietal peritoneum)
What are different types of abdominal pain?
1.. Colic:
small gut - frequent and umbilical
large gut- less frequent and supra pubic
2..non colicky
What are conditions that cause epigastric pain?
pancreatitis MI peptic ulcers acute cholecystitis perforated oesophagus
What conditions present with right upper quadrant pain?
acute cholecystitis
duodenal ulcer
appendicitis
What conditions present with left upper quadrant pain?
aortic aneurysm
gastric ulcer
perforated colon
ruptured spleen
What conditions present with umbilical pain?
intestinal obstruction acute pancreatitis ealy appendicitis aoric aneurysm diverticulum
What conditions present with right lower quadrant pain?
Appendicitis salpingitis ruptured ectopic pregnancy renal?uteric stones preforated caecum
What conditions present with left lower quadrant pain?
salpingitis
sigmoid diverticulitis
ruptured ectopic pregnancy
renal/ureteric stones
What is peritonitis?
inflammatinoof hte peritoneum
What are the common causes of peritonitis?
duodenal ulcers
diverticular disease
intestinal obstruction
What are features of peritonitis?
- sudden well localised pain
- constant pain
- aggravated by breathing
