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

Jan 01, 2016

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Page 1: Causes Of Abdominal Pain Presented By: MH Emami PSRC conference 10.10.1390.
Page 2: Causes Of Abdominal Pain Presented By: MH Emami PSRC conference 10.10.1390.

Causes Of Abdominal Pain

Presented By:MH Emami

PSRC conference10.10.1390

Page 3: 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

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TYPES OF PAIN

• Abdominal pain may be classified into three categories:

• Visceral pain• Somatoparietal pain• Referred pain.

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PQRST

• Provocative factors• Quality• Radiation• Severity• Time and duration

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Provocative and Relieving factors

• Eating• Fasting• Defecation• Position• Palpation• Movement• Psychological stress

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Quality

• Sharp• Colicky• Achy • Discomfort

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Radiation

• To other organs• From other organs

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Severity

• Very Severe• Moderately Severe• Mild severity

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Chronicity

• Sudden onset (Hyper acute)• Acute • Sub acute• Chronic

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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.)

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Concomitant Sign and Symptoms

• Perspiration• Tachycardia• Nausea or vomiting• Stress, Phobia or anxiety• Shock• Alarming signs

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History

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ENDOSCOPY

What is this?

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ENDOSCOPY

• ESOPHAGUS• Esophagitis,schatzki ring, candidiasis, hiatal hernia

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ENDOSCOPY

• DUODENUM,BULBErosions, ulcer and inflammation

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COLONOSCOPY

RECTOSIGMOID,rectumU.Cgrade 4:loss of vascular pattern, friable mucosa, spontaneous

bleeding

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COLONOSCOPY

• LEFT COLON, desending colon• Fisuring ulcer, U.Cgrade 4:loss of vascular pattern, friable

mucosa, spontaneous bleeding

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COLONOSCOPYTerminal Ileum

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psyche

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RAP PMS CPP

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CAWP

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Surgery

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Free Perforation

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Normal Acute Appendicitis

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Small Bowel Obstruction

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volvulus

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Large incisional hernia as the cause of the small bowel obstruction

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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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