P6 CLINICAL Flashcards
give differential diagnosis for inflammation of viscus
- appendicitis
- colitis
- pancreatitis
-cholecystitis
give differential diagnosis for perforation of viscus
-peptic ulcer
-Duodenal ulcer
-perforated gangrenous appendicitis
duration of acute appendicitis
less than 10 days
visceral pain is generated due to
Either muscle contraction or stretching of wall of hallow organs
pain arising from foregut is located to
Epigastrium
pain arising from midgut is located to
periumbilical region
pain arising from hindgut is located to
suprapubic area
origin of parietal pain
in abdominal wall . any depth from skin to peritoneum
term used when pain starts in one place then spreads to another
Radiation
radiation to the back indicates involvement of
pancreas / abdominal aorta
Radiation of unilateral visceral pain to tests / groin indicates
ureteric origin
nerve involved in radiation of cholecystitis pain to shoulder
phrenic nerve
risk factors for acute appendicitis
age ( 10-19 yrs )
gender ( male )
Symptoms of acute appendicitis
Anorexia , low grade fever , nausea , vomiting , periumbilical pain
Aggravating factor for appendicitis pain
cough , movement , respiration
Maximum point of tenderness is over
McBurney’s point
what is Rovsing pain
pain in the right iliac fossa when applying pressure on left iliac fossa
Protrusion of whole or part of a viscus from its normal position through an opening is know as
hernia
types of hernia
epigastric , umbilical , inguinal , femoral
Classifications of hernia
Congenital , acquired , external , internal
types of acquired hernia
Primary : natural weak point
Secondary : due to incision
complications of hernia
Obstruction & strangulation
strangulation may lead to
venous congestion , arterial occlusion & gangrene
Eventually peritonitis
