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ABDOMINAL PAIN AND DISTENSION

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ABDOMINAL PAIN AND DISTENSION What is the definition of acute abdominal pain? - CORRECT ANSWER -Presentation of previously undiagnosed abdominal pain Lasting 24 hours What are the causes of acute abdominal pain? - CORRECT ANSWER -1000 causes exist -Non specific AP (34%) -Acute appendicitis (28%) -Acute cholecystitis (10%) -Small bowel obstruction (4%) -Perforated PU (3%) -Pancreatitis (3%) -Diverticular disease (2%) -Others (13%) What causes visceral pain? - CORRECT ANSWER -Caused by stretching the fibres innervating the walls of a hollow organ or capsular or solid organ Described by patients as crampy or dull pain What causes parietal pain? - CORRECT ANSWER -Caused by irritation of fibres that innervate the parietal peritoneum and pain is more sharp, more localised What causes referred pain? - CORRECT ANSWER -Pain at a location distant from the origin or the embryological origin of the organ which is suffering What causes generalised AP? - CORRECT ANSWER -Perforation Abdominal aortic aneurysm Acute pancreatitis DM: DKA Bilateral pleurisy What causes central AP? - CORRECT ANS

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