L18: Abdominal Pain Flashcards
Which nervous system does pain from abdominal organs travel with
Sympathetic nervous system
Which nervous system does pain from pelvic organs travel with
Parasympathetic nervous system
Which nerve does pain from abdominal wall travel with
Cutaneous nerve
Is visceral pain localised (specific) or diffuse
Diffuse
Is somatic pain localised or diffuse
Localised
Is visceral pain dull or sharp
Dull
Is somatic pain sharp or dull
Sharp
Is visceral pain colic (comes and goes) or constant
Colic
Is somatic pain colic or constant
Constant
What are the two areas of where pain is felt
Appropriate location
Or
Referred pain
In referred pain what are the two pathways of the nervous system involved
Autonomic
Somatic
Which pathway in referred pain localises pain
Somatic
Which pathway of the referred pain diffuses pain
Autonomic
Where does a patient with feel pain if they have myocardial infection
Neck
Chest
Shoulder
Arm
Why does a patient with myocardial infection feel pain in the T1-T4 region
Pain fibres travel from heart with the sympathetic supply to the hear and converge upon T1-T4 spinal segments
T1-T4 dermatomes include the neck region
In the autonomic nervous sytem where is pain felt
Where the organ originated in the organ
Why does inflammation of the gall bladder lead to right shoulder pain
Gallbladder irritates the right diaphragm
What inflammation is somatic pain not referred for
Appendicitis
Perforated duodenum
Is gut pain felt in the front, back or both
Front
It retroperitoneal pain felt at the back, front or both
Back
What is the character of pain for obstruction
Colic (comes and goes)
What is the character of pain for inflammation
Constant
What pain does peritonitis present with
Colic to constant pain
Where is pain felt for autonomic referred pain
Where the organ originated from in embryology