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Causes Of Abdominal Pain. Presented By: MH Emami PSRC conference 10.10.1390. Sources Of Pain. Foregut Midgut Hindgut Referral pain Radicular pains & neuropathies Skin & musculoskeletal pain Psychological. Types of Pain. Abdominal pain may be classified into three categories : - PowerPoint PPT Presentation
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Causes Of Abdominal Pain
Presented By:MH Emami
PSRC conference10.10.1390
Sources Of Pain
• Foregut• Midgut• Hindgut• Referral pain• Radicular pains & neuropathies• Skin & musculoskeletal pain• Psychological
TYPES OF PAIN
• Abdominal pain may be classified into three categories:
• Visceral pain• Somatoparietal pain• Referred pain.
PQRST
• Provocative factors• Quality• Radiation• Severity• Time and duration
Provocative and Relieving factors
• Eating• Fasting• Defecation• Position• Palpation• Movement• Psychological stress
Quality
• Sharp• Colicky• Achy • Discomfort
Radiation
• To other organs• From other organs
Severity
• Very Severe• Moderately Severe• Mild severity
Chronicity
• Sudden onset (Hyper acute)• Acute • Sub acute• Chronic
Time & Duration
• Sudden onset or relieve• Gradual rising or relieve• Duration• Day or night• Awakening from sleep• Related to season• Related to a specific period of life (period,
menarche, menopause, intercourse, etc.)
Concomitant Sign and Symptoms
• Perspiration• Tachycardia• Nausea or vomiting• Stress, Phobia or anxiety• Shock• Alarming signs
History
ENDOSCOPY
What is this?
ENDOSCOPY
• ESOPHAGUS• Esophagitis,schatzki ring, candidiasis, hiatal hernia
ENDOSCOPY
• DUODENUM,BULBErosions, ulcer and inflammation
COLONOSCOPY
RECTOSIGMOID,rectumU.Cgrade 4:loss of vascular pattern, friable mucosa, spontaneous
bleeding
COLONOSCOPY
• LEFT COLON, desending colon• Fisuring ulcer, U.Cgrade 4:loss of vascular pattern, friable
mucosa, spontaneous bleeding
COLONOSCOPYTerminal Ileum
psyche
RAP PMS CPP
CAWP
Surgery
Free Perforation
Normal Acute Appendicitis
Small Bowel Obstruction
volvulus
Large incisional hernia as the cause of the small bowel obstruction
The extrinsic primary afferent neurons that supply the digestive system. These can be divided into three broad categories: vagal primary afferent neurons (black), thoracolumbar spinal primary afferent neurons (green), and pelvic spinal primary afferent neurons (red).