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Causes Of Abdominal Pain

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 :

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Causes Of Abdominal Pain

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  1. Causes Of Abdominal Pain Presented By: MH Emami PSRC conference 10.10.1390

  2. Sources Of Pain • Foregut • Midgut • Hindgut • Referral pain • Radicular pains & neuropathies • Skin & musculoskeletal pain • Psychological

  3. Types of Pain • Abdominal pain may be classified into three categories: • Visceral pain • Somatoparietal pain • Referred pain.

  4. PQRST • Provocative factors • Quality • Radiation • Severity • Time and duration

  5. Provocative and Relieving factors • Eating • Fasting • Defecation • Position • Palpation • Movement • Psychological stress

  6. Quality • Sharp • Colicky • Achy • Discomfort

  7. Radiation • To other organs • From other organs

  8. Severity • Very Severe • Moderately Severe • Mild severity

  9. Chronicity • Sudden onset (Hyper acute) • Acute • Sub acute • Chronic

  10. 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.)

  11. Concomitant Sign and Symptoms • Perspiration • Tachycardia • Nausea or vomiting • Stress, Phobia or anxiety • Shock • Alarming signs

  12. History

  13. ENDOSCOPY What is this?

  14. ENDOSCOPY • ESOPHAGUS • Esophagitis,schatzki ring, candidiasis, hiatal hernia

  15. ENDOSCOPY • DUODENUM,BULB Erosions, ulcer and inflammation

  16. COLONOSCOPY RECTOSIGMOID,rectum U.Cgrade 4:loss of vascular pattern, friable mucosa, spontaneous bleeding

  17. COLONOSCOPY • LEFT COLON, desending colon • Fisuring ulcer, U.Cgrade 4:loss of vascular pattern, friable mucosa, spontaneous bleeding

  18. COLONOSCOPYTerminal Ileum

  19. psyche

  20. RAP PMS CPP

  21. CAWP

  22. Surgery

  23. Free Perforation

  24. Normal Acute Appendicitis

  25. Small Bowel Obstruction

  26. volvulus

  27. Large incisionalhernia as the cause of the small bowel obstruction

  28. 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).

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