pain Flashcards
Somatic pain
caused by irritation of the
parietal peritoneum and is usually lateralized
and localized to the area of inflammation.
Pain arising from the forgot structure
Localized above the umbilicus
Pain from the small intestine
Located around the umbilicus
Parietal Peritoneum involvement acute appendicitis
Right iliac fossa
Colonic pain
below the umbilicus; pain in the left
iliac fossa from diverticular disease of the sigmoid
colon.
Severe sudden onset of abdominal painwith with progressive intensity and then generalized
Perforation of hollow viscera aortic aneurism mesenteric infarction
Torsion of an organ
Rapid onset of pain
A slower onset and progression of abdominal pain over hours or
days suggests:
acute cholecystitis, appendicitis or diverticular
disease.
Associated manif.preceeding constipation
Colorectal cancer diverticulitis disease
Associated manif
Prior dyspepsia(heartburn)
Suggest
A peptic ulcer
Coexisting vascular disease hypertension atrial fibrillation suggests:
aneurysm or
mesenteric ischemia.
The development of shock following the onset of pain may
indicate
Intrabdominal bleeding
Visceral pain
Distention of hollow organs mesenteric traction excessive smooth muscle contraction