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Bio Medicine > Abdominal Pain > Flashcards

Abdominal Pain Flashcards

1
Q

Abdominal Pain

General Red Flags

5 things

A
  • Difficulty doing day to day activites
  • Rigidity
  • Guarding
  • Swelling
  • Rebound Tenderness
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2
Q

Red Flag

Acute Appendicitis

A
  • Tenderness in lower RIGHT quadrant
  • Pain starts around umbilicus –> towards right lower abdominal region
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3
Q

Red Flag

Acute Pancreatitis

( pancreas is located behind the ST, helps with digestion)

A

Pain improves when leaning forward

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4
Q

Red Flags

Peritonitis

A

Very Painful
Abdominal organs are inflamed

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5
Q

Red Flags

Bowel Obstruction

A
  • Pain in mid - lower abdomen (colic)
  • Inability to pass stool
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6
Q

Red Flags

Ruptured Abdomen

High mortality rate - 911 immediatly
Abdominal aneurysm

A
  • Severe pain in ab
  • Throbbing sensation in abdomin
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7
Q

Red Flags

Kidney Stones

A
  • Pain starts in loin and radiates to abdominal region, groin and sometimes the back.
  • Pain comes in waves
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8
Q

Red Flags

Colon Cancer

Age: 50+

A
  • Epigastric pain
  • Dyspepsia (impaired digestion) for the first time
  • Blood in stool
  • Unexplained weight loss
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9
Q

Red Flags

Helicobacter Pylori Infection

Bacterial Infection of ST and Duodenum

Age: 50+

A
  • Epigastric pain
  • Dyspepsia (impaired digestion) for the first time
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10
Q

Red Flag

Diverticulitis

Inflamed Protrusions in colon

A
  • Unilateral Pain - more often on lower left side
  • alternating dirrhea and constipation
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11
Q

Red Flags

IBS

Disorder of entire digestive tract

A
  • pain is lateral
    *or *
  • pain varies from ache to spastic pain

emotional factors can trigger

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12
Q

Red Flags

Ulcerative Colitis

chronic inflammation of bowel ( LI)

A

Attacks of bloody diarrhea

LI becomes inflamed and ulcerated

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13
Q

Red Flags

Crohn’s Disease

Inflammation of GI track mostly SI ( Ileum )

A

Chronic diarrhea, sometimes bloody

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14
Q

Etiology of Abdominal Pain

EPI Invasion
(External Pathogenic Invasion)

Explain how EPI can cause Ab Pain?

A
  • Cold, heat, damp-heat can obstruct QI and BLOOD flow.
  • T & T Function becomes inpaired
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15
Q

Etology of Ab Pain

Improper Diet

Explain how improper diet can cause Ab pain?

A
  • Greasy, sweet, cold, raw foods created stagnation.
  • Stagnation impairs T & T Function.
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16
Q

Etiology of Ab Pain

Emotions

Explain how emotions can cause Ab pain?

A
  • Emotions affect the flow of QI
  • That affects Liver’s smoothe flow of Qi
  • Qi then stagnates leading to Blood stasis
  • LR can also overact on ST/SP causing pain
17
Q

Etiology of Ab Pain

Consitiutional Yang Deficiency

Explain how Yang XU can cause Ab pain?

A
  • Chronic Yang XU leads to COLD
  • Cold congeals/contracts
  • Cold causes chronic XU pain
18
Q

Name some points to use for Ab Pain:

Cold Invasion

sharp pain, prefer warm, no thirst, abundant clear urine, loose stool

A

ST 36 - command of ab
ST 25 - Mu of LI
SP 4 - imperical to stop diarrhea
ST 34 - Xi cleft of ST, use for pain
CV 12 - Mu of ST
PC 6 - Yin Linking (use for chest and trunk)

19
Q

Name some Points to use for Ab Pain:

Accumulation of Damp Heat

Burining pain, diarrhea or constipation, thirst, dark scanty urine

foul breath, sweating/fever, irritability

A

ST 25 - Mu LI
LI 11 - Heat clearing (reduce)
SP 9 - Clear damp, SP He Sea
ST 44 - Ying Spring (reduce)
ST 37 - Lower He Sea LI
GB 34 - Move Qi, GB He Sea
ST 36 - ST He Sea

20
Q

Name some Points to use for Ab Pain:

Food Retention

fullness/pain, Ab distention, nausea after meals, belching, acid reflux

aggrivated by pressure, diarrhea with undigested food or constipation.

A

Li Nei Ting - under ST 44, for food retention
ST 44 - Ying spring
ST 25 - Mu LI
ST 34 - Xi Cleft (pain)
CV 12 - Mu ST
PC 6 - pain on trunk
LI 4 + LR3 - 4 gates (move Qi)

21
Q

Name some Points to use for Ab Pain:

Qi Stagnation / Blood Stasis

Stabbing pain, fixed, sharp, often chronic, may be masses

A

BL 17 - Command Blood
SP 10 - Sea of Blood
CV 12 - Mu ST
ST 34 - Xi Cleft ST
ST 36 - Command Abdomin
LI4 + LR3 - Move Qi

22
Q

Name some Points to use for Ab Pain:

SP / KD Yang XU

dull pain, like pressure/warmth, feels cold, tired, pale, loose stool

A

CV 8 - Moxa
CV 6 - Qi High
CV 12 - Mu ST
ST 25
ST 36
SP 4 - imperical for stop diarrhea
BL 20 - Back Shu SP
BL 21- Back Shu ST
BL 23 - Back Shu KD

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