Acute Abdomen Flashcards
What is the requirement that allows abdo pain to be called ‘acute’?
<10 days duration
Which a) type of nerve b) nerve roots
supplies all of the below:
- retroperitoneum,
- parietal peritoneum
- abdominal wall?
a) Segmental nerves - somatic
b) T5-L2
What does the somatic innervation of the abdomen detect?
- tactile
- chemical
- thermal
stimuli
Which a) nerve b) nerve roots supplies the under surface of the diaphragm
a) phrenic nerve
b) C3-C5
Where can pain from gas/blood irritation of the undersurface of the diapghragm refer to?
shoulder tip
(e.g. due to blood in peritoneal cavity)
Which
a) type of nerve
b) via which plexi
supplies the hollow and solid viscera of the abdomen?
a) Autonomic - sympathetic
b) via presacral & splanchnic plexi
What are the nerve roots of the
a) presacral plexus
b) splanchnic plexus
a) L1-L2
b) T6-T12
What can autonomic innervation (sympathetic) of the abdomen detect?
distension
contraction
pressure
Is the autonomic (sympathetic) innervation of the abdomen well localised?
NO
But location can give a clue to the underlying structures
What percentage of hospital admissions is new abdominal pain?
1%
What % of abdominal pain cases have the correct initial diagnosis?
45-65%
What is the average length of hospital stay for a new abdominal pain case?
<10days
Where does pain localise to from structures in
a) foregut
b) midgut
c) hindgut
Name the 9 regions of the abdominal area
also inguinal or suprapubic
Regarding the position of the appendix:
a) which abdo region is it located in?
b) which abdo region is inflammation of the appendix (appendictis) INITIALLY referred to?
b) which abdo region is inflammation of the appendix (appendictis) referred to once it spreads to the parietal peritoneum?
a) right iliac/inguinal
b) umbilical
c) right iliac/inguinal
describe pain:
- from small intenstinal obstruction
- from large intestinal obstruction
What are the most common causes of pain in
- the epigastrium
What are the most common causes of pain in
- LUQ
What are the most common causes of pain in
- RUQ
What are the most common causes of pain in
- the umbilical region
What are the most common causes of pain in
- the RLQ
What are the most common causes of pain in
- the LLQ
What are the features of peritonitis?
What are common causes of peritonitis?
