1
“'For I know the plans I have for you,' declares the Lord, 'plans to prosper you and not to harm you, plans to give you a hope and a future. '” — Jeremiah 29:11
, TOPIC OUTLINE Appendix, colon, Mesenteric T10-11
and pelvic viscera plexus and lesser
I. Acute Abdomen
II. Anatomy and Physiology splanchnic nerve
A. Visceral pain Sigmoid colon, Lowest T10-11
B. Parietal pain rectum, kidney, splanchnic nerve
C. Referred pain
D. Shifting pain
ureters, and
III. History taking testes
A. Pain Bladder & Hypogastric S2-4
B. Other symptoms associated rectosigmoid plexus
C. Regions of the abdomen
IV. Physical Examination
A. Inspection
B. Percussion
C. Palpation
D. Abdominal examination signs
V. Laboratory studies
VI. Imaging studies
VII. Indications for surgical consult
DR.
MARAMBA
ACUTE ABDOMEN
ANATOMY AND PHYSIOLOGY
VISCERAL PAIN
SENSORY LEVELS ASSOCIATED WITH VISCERAL
STRUCTURES
STRUCTURES NERVOUS SENSORY
SYSTEM LEVEL
PATHWAYS
Liver, spleen and Phrenic nerve C3-5
central part of
diaphragm
Peripheral Celiac plexus and T6-9
diaphragm, greater
stomach, splanchnic nerve
pancreas,
gallbladder, and
small bowel
2
“'For I know the plans I have for you,' declares the Lord, 'plans to prosper you and not to harm you, plans to give you a hope and a future. '” — Jeremiah 29:11
“'For I know the plans I have for you,' declares the Lord, 'plans to prosper you and not to harm you, plans to give you a hope and a future. '” — Jeremiah 29:11
, TOPIC OUTLINE Appendix, colon, Mesenteric T10-11
and pelvic viscera plexus and lesser
I. Acute Abdomen
II. Anatomy and Physiology splanchnic nerve
A. Visceral pain Sigmoid colon, Lowest T10-11
B. Parietal pain rectum, kidney, splanchnic nerve
C. Referred pain
D. Shifting pain
ureters, and
III. History taking testes
A. Pain Bladder & Hypogastric S2-4
B. Other symptoms associated rectosigmoid plexus
C. Regions of the abdomen
IV. Physical Examination
A. Inspection
B. Percussion
C. Palpation
D. Abdominal examination signs
V. Laboratory studies
VI. Imaging studies
VII. Indications for surgical consult
DR.
MARAMBA
ACUTE ABDOMEN
ANATOMY AND PHYSIOLOGY
VISCERAL PAIN
SENSORY LEVELS ASSOCIATED WITH VISCERAL
STRUCTURES
STRUCTURES NERVOUS SENSORY
SYSTEM LEVEL
PATHWAYS
Liver, spleen and Phrenic nerve C3-5
central part of
diaphragm
Peripheral Celiac plexus and T6-9
diaphragm, greater
stomach, splanchnic nerve
pancreas,
gallbladder, and
small bowel
2
“'For I know the plans I have for you,' declares the Lord, 'plans to prosper you and not to harm you, plans to give you a hope and a future. '” — Jeremiah 29:11
