TUTORIAL Abdominal pain Flashcards
(21 cards)
When taking a history from a patient presenting with abdominal pain, what 8 salient points about the pain will help you make the correct diagnosis?
site
onset
character
radiation
associations
timecourse
exacerbating and relieving factors
severity
Which intra- abdominal organs are found in the right hypochondriac region?
- Gallbladder & liver
Which intra- abdominal organs are found in the epigastric region?
Stomach, duodenum & pancreas
Which intra- abdominal organs are found in the left hypochondriac region?
Pancreas and spleen
Which intra- abdominal organs are found in the right lumbar region?
Kidney
Which intra- abdominal organs are found in the umbilical region?
Small bowel
Which intra- abdominal organs are found in the left lumbar region ?
Kidney
Which intra- abdominal organs are found in the right iliac region?
Appendix & caecum
Which intra- abdominal organs are found in the hypogastric region?
Bladder, uterus & “adnexa” refers to the ovaries, fallopian tubes and ligaments that secure the female reproductive organs
Which intra- abdominal organs are found in the left iliac region?
Sigmoid colon
What are the 3 divisions of the GI tract?
Foregut:
distal end of the esophagus, the stomach, and a portion of the duodenum. In addition, the pancreas, liver, and gallbladder form embryologically from the foregut
Midgut:
duodenum distal to the ampulla of Vater, the jejunum, ileum, cecum, ascending colon, and foremost two-thirds of the transverse colon
Hindgut:
The hindgut consists of the distal half of the transverse colon, descending colon, sigmoid colon, and the proximal third of the rectum.
What is the blood supply of the 3 divisions of the GI tract?
Foregut- coeliac trunk
Midgut- superior mesenteric artery
Hindgut- inferior mesenteric artery
What is the character of pain you’d expect in a ureter/ stone issue?
Colicky
What is the character of pain you’d expect in a liver issue?
Constant
What is the character of pain you’d expect in a gallstone issue?
colicky
What is the character of pain you’d expect in a spleen issue?
Constant
What is the character of pain you’d expect in a kidney issue?
Constant
What is the character of pain you’d expect in a bowel issue?
Colicky
How does pancreas pain radiate?
Starts as epigastric pain and moves to the back or below left shoulder
How does gallbladder pain radiate?
Starts as right hypochondriac pain and moves to the upper back
How does kidney pain radiate?
starts in loin (lumbar) moves to groin pain (iliac fossa)
