Term
| Pain fibers within the abdominal cavity are confined to the |
|
Definition
| visceral peritoneum, parietal peritoneum, and blood vessels |
|
|
Term
| The parietal peritoneum is innervated by |
|
Definition
| somatic nerve fibers and will localize pain |
|
|
Term
| Is Pain due to visceral peritoneal involvement alone a good way to be able to locally identify the site of pain |
|
Definition
|
|
Term
| In conditions that do not involve the parietal peritoneum the most common sources of pain are : |
|
Definition
Distention of a hollow viscus and
Visceral ischemia. |
|
|
Term
| Right upper quadrant pain: |
|
Definition
Cholycystitis
Hepatitis
Liver abscess or tumor |
|
|
Term
| Crampy variably located pain |
|
Definition
Gastroenteritis
Intestinal obstruction
Inflammatory bowel disease
Ischemic colitis |
|
|
Term
|
Definition
Aortic aneurysm
Appendicitis
Diverticultis
Disease of female reproductive organs
Perforation of the bowel |
|
|
Term
|
Definition
Peritonitis
Nonsurgical causes of
abdominal pain |
|
|
Term
|
Definition
Pyelonephritis
Nephrolithiasis
Retrocecal appendicitis
Retroperitoneal bleeding |
|
|
Term
|
Definition
Splenic infarct
Rupture spleen
Pancreatitis |
|
|
Term
|
Definition
Gastric or duodenal ulcers
Pancreatitis
Aortic aneurysm
Myocardial infarction |
|
|
Term
| Radiation of Pain or Shift in Localization: Pain radiating from the flank to the groin or genitalia |
|
Definition
| usually signifies ureteral colic (kidney or ureter). |
|
|
Term
| Radiation of Pain or Shift in Localization: Diffuse periumbilical and epigastric pain gradually localizing to the right lower quadrant is a classic sign of |
|
Definition
|
|
Term
| Radiation of Pain or Shift in Localization: Shoulder pain |
|
Definition
may be due to ipsilateral diaphragmatic irritation from air, blood, or (pus)
infection in the peritoneal cavity |
|
|
Term
| Dull, heavy, constant, pain associated with |
|
Definition
|
|
Term
Explosive agonizing pain
of maximal intensity at
onset : |
|
Definition
Rupture of hollow viscus
Vascular accident |
|
|
Term
Abrupt onset abdominal
moderately sever at onset
and worsen rapidly = |
|
Definition
Acute appendicitis
Mesentric thrombosis
Small bowel strangulation |
|
|
Term
|
Definition
Renal or Biliary colic
(Less likely to cause prostrating pain) |
|
|
Term
| Acute pelvic pain (female)= |
|
Definition
Rupture of ectopic pregnancy
Rupture of Ovarian follicular cyst |
|
|
Term
|
Definition
| Peritoneal infection of inflammation (appendicitis or diverticulitis) |
|
|
Term
| Excruciating Pain: Not relieved by ordinary doses of narcotics |
|
Definition
Ruptured viscus or May indicates a vascular lesion (coronary occlusion, rupture of an abdominal aneurysm
(Could be due to biliary or renal colic) |
|
|
Term
Severe Pain
Can be controlled by medication |
|
Definition
Typical of acute pancreatitis or peritonitis
and is associated with ischemic bowel. |
|
|
Term
Dull Pain
Gradual, dull, vague, and poorly localized pain |
|
Definition
| Strongly suggest an inflammatory process or a low grade infection |
|
|
Term
Intermittent Pain With
Cramps and Rushes
Pain comes in regular cycles, rises in crescendo fashion and then subsides to a pain-free interval |
|
Definition
Early subacute pancreatitis or renal colic
or Mechanical small
bowel obstruction |
|
|
Term
Vague –
Absence of Pain A sense of fullness and a feeling that
a bowel movement would bring relief |
|
Definition
Characteristic of an inflammatory lesion
that is walled off from the peritoneal cavity.
(common in Retrocecal appendicitis) |
|
|
Term
| If the bowel movement fails to relieve discomfort this is called |
|
Definition
|
|
Term
| Anorexia; Nausea & Vomiting |
|
Definition
Common in disease of the upper abdomen:
If nausea and vomiting precede the onset of pain the need for operations are unlikely. |
|
|
Term
| Anorexia; Nausea & Vomiting that precede pain |
|
Definition
| (The most likely causes are: gastroenteritis, food poisoning, acute gastritis, acute pancreatitis). |
|
|
Term
| In most acute surgical emergencies, nausea and vomiting are not |
|
Definition
dominant or
early symptoms |
|
|
Term
|
Definition
| Common with most causes of acute abdominal pain |
|
|
Term
| High fever or rigors strongly suggest |
|
Definition
| diffuse peritonitis from perforation of a viscus, pyelonephritis or appendicitis |
|
|
Term
| Very high fever with peritoneal signs in a female patient is characteristic of |
|
Definition
| acute salpingitis with pelvic peritonitis |
|
|
Term
| Repeated shaking chills and fever are most common in |
|
Definition
infections of
the biliary or urinary tract. |
|
|
Term
| Chills, fever, rigors, jaundice, and hypotension suggest |
|
Definition
| suppurative cholangitis, which is a surgical emergency. |
|
|
Term
| Diarrhea, Constipation, & Obstipation |
|
Definition
May occur in acute abdomen but are not
often major symptoms in acute intra
abdominal disease requiring surgery |
|
|
Term
| Early and severe diarrhea is associated with |
|
Definition
|
|
