Flashcards in Week 10-GI Deck (91)
When voiding is inconvenient, brain can inhibit what?
Type of pain that is gnawing, burning, cramping, or aching:
This occurs when hollow organs contract forcefully or are distended or stretched, or when the capsules of solid organs are stretched; can also happen with ischemia
This type of pain is a steady, aching, more severe than visceral type of pain that occurs from inflammation of the parietal peritoneum (peritonitis); it is aggravated by coughing or moving, patients prefer to lie still
This type of pain that is felt at more distant sites which are innervated at approximately the same spinal levels as the disordered structures.
Visceral pain in the RUQ suggests:
Liver distention against its capsule (hepatitis)
Visceral periumbilical pain suggests ____ then becomes ______ in the RLQ from inflammation of the parietal peritoneum
Early appendicitis from distention of the Inflamed appendix
Referred pain to the ___ from pancreatic or duodenal origin.
Referred pain from the Biliary tree to the :
Right scapular region or the right posterior thorax
Referred pain from pleurisy or inferior wall myocardial infarction to the ____.
Sensitivity of pain increases or decreases in older adults?
Colicky acute upper abdominal pain:
Sudden knife-like epigastric pain:
GERD, pancreatitis, and perforated ulcers
RUQ/upper abdominal pain:
Cholecystitis and cholangitis
Pain precipitated by exertion consider:
Chronic, recurrent upper abdominal pain:
Negative feeling that is not painful:
3 month history of nonspecific upper abdominal discomfort or nausea not attributable to structural abnormalities or PUD.
Functional (non-ulcer) dyspepsia
Dysphagia, odynophagia, recurrent vomiting, evidence of GI bleed, early satiety, weight loss, anemia, rial factors for GI cancer, palpable mass, painless jaundice are all
Alarm symptoms in chronic upper abdominal discomfort/pain
Postprandial fullness, early satiety, epigastric pain/burning are symptoms of:
RLQ pain that migrates from periumbilical area plus abdominal wall rigidity is suspicious for:
RLQ pain in women consider:
PID, ruptured ovarian cysts, ectopic pregnancy
LLQ pain plus palpable mass:
Diffuse abdominal pain, distention, hyperactive high-pitched bowel sounds and tenderness on palpation:
Small or large bowel obstruction
Pain, absent bowel sounds, rigidity, percussion tenderness, and guarding:
Change in bowel habits with mass:
Pain for 12 weeks in preceding 12 months, relief with defecation, change in frequency of bowel movements, change in form of stool: