Causes Of Abdominal Pain Presented By: MH Emami PSRC conference

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,BULB Erosions, ulcer and inflammation

COLONOSCOPY RECTOSIGMOID,rectum U.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

COLONOSCOPY Terminal Ileum

psyche

RAP PMSCPP

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).