1b// Abdominal Pain

Question 1

What is SOCRATES?

Answer 1

Question 2

Which intra-abdominal organs produce pain in the right hypochondriac region?

Answer 2

gallbladder and liver

Question 3

Which intra-abdominal organs produce pain in the left hypochondriac region?

Answer 3

pancreas

Question 4

Which intra-abdominal organs produce pain in the epigastric region?

Answer 4

stomach, duodenum and pancreas

Question 5

Which intra-abdominal organs produce pain in the right lumbar region?

Answer 5

kidney

Question 6

Which intra-abdominal organs produce pain in the left lumbar region?

Answer 6

kidney

Question 7

Which intra-abdominal organs produce pain in the umbilical region?

Answer 7

small bowel

Question 8

Which intra-abdominal organs produce pain in the right iliac region?

Answer 8

appendix and caecum

Question 9

Which intra-abdominal organs produce pain in the left iliac region?

Answer 9

sigmoid colon

Question 10

Which intra-abdominal organs produce pain in the hypogasrtic region?

Answer 10

bladder
uterus
adnexae

Question 11

How can the GI tract be split into 3?

Answer 11

foregut, midgut, hindgut

Question 12

What artery supplies the foregut?

Answer 12

coeliac trunk

Question 13

What artery supplies the midgut?

Answer 13

superior mesenteric artery

Question 14

What artery supplies the hindgut?

Answer 14

inferior mesenteric artery

Question 15

What character of pain would you expect for a stone in the ureter?

Answer 15

colicky

Question 16

What character of pain would you expect for the liver?

Answer 16

constant

Question 17

What character of pain would you expect for cholelithiasis/ hepatolithiasis/ choledocholithiasis?

Answer 17

colicky

Question 18

What character of pain would you expect for the spleen?

Answer 18

constant

Question 19

What character of pain would you expect for the kidneys?

Answer 19

constant

Question 20

What character of pain would you expect for the colon?

Answer 20

colicky

Question 21

What radiation of pain would you expect for the gallbladder?

Answer 21

through to the back and to the right

(and right shoulder e.g., cholecystitis)

Question 22

What is cholecystitis?

Answer 22

Cholecystitis is a redness and swelling (inflammation) of the gallbladder

Question 23

Why does cholecystitis cause pain in the right shoulder?

Answer 23

referred pain happens because the source of pain also causes nerve irritation. In the case of gallstones, inflammation in the area irritates the large phrenic nerve. it also shares a connection with your shoulders.

Question 24

What radiation of pain would you expect for the pancreas?

Answer 24

straight through to the back and left

Question 25

What radiation of pain would you expect for the kidneys?

Answer 25

in loin and radiates to groin

Question 26

What radiation of pain would you expect for the stomach?

Answer 26

doesn’t normally radiate