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ABDOMINAL PAIN

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ABDOMINAL PAIN Somatic vs Visceral Abdominal Pain - CORRECT ANSWER -*Somatic Pain* -originates from the abdominal wall and parietal peritoneum -associated with A-fibers (fast fibers, sharp pain) AND C-fibers (slow fibers, dull achey pain) -SHARPER MORE DISTINCT PAIN that is usually better LOCALIZED *Visceral Pain* -originates from internal organs and visceral peritoneum -associated with C-fibers only -VARIABLE LOCATION AND SENSATION -is NOT sensitive to cutting, tearing, burning, or crushing -is sensitive to stretching of walls of hollow organs or of the capsule of solid organs Major Causes of Acute Abdominal Pain - CORRECT ANSWER -*Inflammation:* -appendicitis -cholecystitis -pancreatitis -diverticulitis *Perforation* *Obstruction* *Vascular Problems:* -AAA -Ischemic Bowel Syndrome (more often in elderly who have greater risk of atherosclerosis or A-fib producing clots) Major Causes of Chronic Abdominal Pain - CORRECT ANSWER -*Inflammation:* -peptic ulcer -esophagitis -inflammatory bowel disease

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  • abdominal pain somatic vs visceral abdominal pain
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