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What will happen to pain felt from appendicitis as it progresses to far It goes from peri
umbilical pain to somatic pain
Somatic pain Sharp localized pain that originates that travel along more definite Neural
routes than visceral pain.
Peritonitis Inflammation of the peritoneum
Pain from solid organ will often be more... Localized
Bacterial and chemical causes pain that Can be more localized
Significant inflammation of the peritoneum can lead to... Sepsis and even death
Refered pain Originates in a region other than where it's felt
,Abdominal Para 1251 PCP JIBC Questions With
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What causes referred pain Many neural pathway from various organs pass through or over
areas where the organ was formed during embryonic development.
Common position for someone with severe abdominal pain Lie as still as possible in the
fetal position
What can cause abdominal distension? Build up Of free air from an obstructed bowel or
from blood
How much blood can the abdominal cavity hold? 4 to 6 litres. woah!
Cullen sign Ecchymosis in the peri umbilical area
Grey-Turner's sign Ecchymosis in the flank area
If you plan to auscultate you must... Do it before palpate
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What can palpation tell us about abdominal pain? Helps to localize the pains origin
Locate organs associated with the pain
What is the ligament of Treitz? Ligament that supports the dudenojejunal junction
Mallory-Weiss Tear Esophageal tear usually second to vomiting
6 major causes for upper GI bleed Peptic ulcer disease,
Gastritis
Varix rupture
Mallory-Weiss Tear
Esophagitis
Duodenitis
What causes 75% of upper GI bleeds? Irritation or erosion of the gastric lining
What are two common signs of upper GI bleed? Hematemesis