GI 4 Flashcards

1
Q

reasons for abdominal pain: 3 broad categories

A
  • inflammation
  • organ distention (tension pain)
  • necrosis (ischemic pain)
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2
Q

reasons for abd pain: inflammation

A
  • described as steady, deep, boring
  • can be poorly localized
  • person will seek “quiet” position without movement
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3
Q

reasons for abd pain: organ distention

A
  • bowel obstruction
  • constipation
  • fluid accumulation from infection, etc
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4
Q

reasons for abd pain: necrosis

A
  • steady pain with sudden, extremely intense onset

- NOT relieved by analgesics

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5
Q

primary visceral pain: regions of referral

A
  • epigastric
  • periumbilical
  • hypogastric
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6
Q

epigastric: organ referral

A
  • heart
  • esophagus
  • stomach
  • duodenum
  • gallbladder
  • liver
  • pancreas
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7
Q

periumbilical: organ referral

A
  • pancreas
  • small intestine
  • appendix
  • proximal colon
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8
Q

hypogastrium: organ referral

A
  • large intestine
  • colon
  • bladder
  • uterus
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9
Q

pain in periumbilical region: PT will likely see…

A
  • someone with ant abd pain and LBP at same leve, but with alternating presentation
  • may present with LBP when GI sx aren’t present
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10
Q

quality of referred pain

A

often more intense and localized

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11
Q

referred pain patterns: hyperesthesia/hyperalgesia

A
  • hyperesthesia of skin

- hyperalgesia of mm

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12
Q

referred pain patterns: may also present with

A
  • itching
  • skin temp changes
  • perspiration
  • dry skin
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13
Q

Contraction/guarding/splinting of abdominal mm can result in

A

mm dysfunction in back with loss of motion of involved spinal segments

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14
Q

Viscera and pain perception

A
  • viscera does not perceive pain

- sensory system is trying to get the message out that something is wrong

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15
Q

All upper quadrants have

A

stomach ulcer

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16
Q

RUQ and upper middle quadrant have

A
  • stomach ulcer

- pancreatitis

17
Q

All lower quadrants have

A

pelvic pain