abdominalpain - Abdominal pain Acute abdomen: Severe acute...

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Abdominal pain Acute abdomen: Severe acute onset of pain which results in urgent need for diagnosis and treatment. May indicate a medical or surgical emergency Less acute pain : common symptom, may be difficult to elicit and interpret objectively
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Approach to abdominal pain Detailed history Relationship to feeding, vomiting and diarrhoea, fever, micturition Onset, duration, aggravating and relieving factors, prior treatment Decide on the type of pain Visceral pain: dull, aching, midline, not necessarily over site of disease Somatic : localized, sharp, from parietal pleura, abdominal wall, retroperitoneal muscles Referred pain : from parietal pleura to abdominal wall
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Visceral pain Typically felt in the midline according to level of dermatome innervation Epigastric Peri-umbilical Suprapubic Small intestinal pain felt peri-umbilical and mid- epigastric Colon felt over the site because of short mesentery Visceral pain becomes somatic if the affected viscus involves a somatic organ eg peritoneum or abdominal wall
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Approach to abdominal pain
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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abdominalpain - Abdominal pain Acute abdomen: Severe acute...

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