GI and GU Systems Flashcards
what is the primary sxs of pts
pain
what is vital to the exam process
accurate assessment
what is a necessary step in the screening process
recognizing pain patterns
pain patterns are
characteristics of systemic dz
mechanisms of referred pain
not fully understood
3 phenomena
3 phenomena
embryonic development
multisegmented innervation
direct pressure and shared pathways
embryonic development
pain is referred to a site where the organ was located during fetal development
multisegmented innervation
viscera is innervated by multiple segments
pain that is visceral in origin can be referred to the corresponding somatic areas
what is the most accepted theory
direct pressure and shared pathways
direct pressure and shared pathways
most viscera is near the diaphragm
anything that impinges upon the diaphragm can result in referred pain
anything that impinges upon the diaphragm can result in referred pain
central diaphragm impingement
peripheral diaphragm impairment
centra diaphragm impingement
refers to the shoulder
since we are used to afferent info from the shoulder as opposed to the diaphragm
peripheral diaphragm impairment
refers pain to the ipsilateral costal margins +/or lumbar region
what is unlikely
for a pt w/ back, hip and SI joint pain that has been present for 5-10 years
to demonstrating viscerogenic pain
what would be suggested in this unlikely case
a systemic origin would only be suspected if there is a sudden or recent change in the clinical presentation +/or the client develops constitutional sxs
comparison of systemic v. MSK pain
aggravating and relieving factors
aggravating and relieving factors
systemic pathology
chest/neck and upper back pain
back/shoulder/pelvic or sacral pain
gall bladder pain
tense swollen kidney pain
pancreatic pain
distended hollow organs
for systemic pathology
it is usually organ depended
based on visceral fxn
chest/neck and upper back pain
d/t a problem with the esophagus will likely be exacerbated w/ the pt swallowing and eating
whereas neck pain d/t HNP would be unchanged
back/shoulder/pelvic or sacral pain
made better or worse w/ eating, passing gas or bowel movements
IS A RED FLAG
gall bladder pain
can be lessened by leaning forward
or
assuming a hands on knees posture
tense swollen kidney pain
may be relieved by flexing the trunk +/or tilting towards the involved side
pancreatic pain
pt may sit up and lean forward or lie down w/ knees drawn to chest
to lessen sxs
distended hollow organs
body positions or movement that increase intra-abdominal pressure may intensify pain
while positions that reduce pressure or support the structure may ease the pain
