GI 4 Flashcards
reasons for abdominal pain: 3 broad categories
- inflammation
- organ distention (tension pain)
- necrosis (ischemic pain)
reasons for abd pain: inflammation
- described as steady, deep, boring
- can be poorly localized
- person will seek “quiet” position without movement
reasons for abd pain: organ distention
- bowel obstruction
- constipation
- fluid accumulation from infection, etc
reasons for abd pain: necrosis
- steady pain with sudden, extremely intense onset
- NOT relieved by analgesics
primary visceral pain: regions of referral
- epigastric
- periumbilical
- hypogastric
epigastric: organ referral
- heart
- esophagus
- stomach
- duodenum
- gallbladder
- liver
- pancreas
periumbilical: organ referral
- pancreas
- small intestine
- appendix
- proximal colon
hypogastrium: organ referral
- large intestine
- colon
- bladder
- uterus
pain in periumbilical region: PT will likely see…
- someone with ant abd pain and LBP at same leve, but with alternating presentation
- may present with LBP when GI sx aren’t present
quality of referred pain
often more intense and localized
referred pain patterns: hyperesthesia/hyperalgesia
- hyperesthesia of skin
- hyperalgesia of mm
referred pain patterns: may also present with
- itching
- skin temp changes
- perspiration
- dry skin
Contraction/guarding/splinting of abdominal mm can result in
mm dysfunction in back with loss of motion of involved spinal segments
Viscera and pain perception
- viscera does not perceive pain
- sensory system is trying to get the message out that something is wrong
All upper quadrants have
stomach ulcer
