EPC I Final Lecture (PowerPoint)

EPC I Final Lecture (PowerPoint) - EPC I Final Lecture...

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EPC I Final Lecture Abdominal Pain EPC I Final Exam EPC II Reflective Project Wednesday November 3, 2010
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Abdominal Pain
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Anatomy of the Abdomen (cont.) Abdominal Cavity
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Locations of Abdominal Pain
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Abdominal Pain Abdominal pain is the most common  cause of hospital admission in the United  States.   Cause ranges from benign to life  threatening conditions. Irritable bowel syndrome Ruptured abdominal aortic aneurysm
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Abdominal Pain
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Location Character Acuity Does eating make it better or worse? Does it radiate? How long has it gone on?
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Qualify the patient’s pain Visceral pain:  when hollow organs (stomach,  colon) forcefully contract or become distended.  Solid organs (liver, spleen) can also generate  this type of pain when they swell against their  capsules. Visceral pain is usually gnawing,  cramping, or aching and is often difficult to  localize (hepatitis)
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Parietal pain:  when there is inflammation from  the hollow or solid organs that affect the parietal  peritoneum. Parietal pain is more severe and is  usually easily localized (appendicitis)
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Referred pain:  originates at different sites but  shares innervation from the same spinal level ( Eg gallbladder pain in the shoulder
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Pain in Abdominal Areas Types of Visceral Pain
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LOCATES for Abdominal Pain Describe the pain Where is the pain? Point with one finger to the area of pain. How severe is the pain (scale of 1 to 10)? What brings on the pain (timing/enviroment)? How often do they have the pain (frequency)? How long does the pain lasts (duration)? Does the pain goes anywhere else (radiation)? Does anything aggravate the pain or relieve the pain? Any other symptoms associated with the pain?
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Other Symptoms How is the patient’s appetite?
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Any heartburn? burning sensation in the epigastric  area radiating into the throat  often associated  with regurgitation
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Any gas? Excessive gas or flatus  Needing to belch Passing gas by the rectum Sensation of  bloating
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Abdominal fullness or early satiety?
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Regurgitation? The reflux of food and stomach acid back  into the mouth Brine-like taste Acid brash
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Any Vomiting? Amount? Type? Food Green- or yellow-colored bile  Mucus  Blood, coffee ground emesis (often old blood)  o Blood or coffee ground emesis is known as hematemesis o Retching?  o spasmodic movement of the chest and diaphragm like  vomiting, but no stomach contents are passed
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This note was uploaded on 07/01/2011 for the course BMS 6015 taught by Professor Staff during the Fall '10 term at University of Florida.

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EPC I Final Lecture (PowerPoint) - EPC I Final Lecture...

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