GI 4

Question 1

reasons for abdominal pain: 3 broad categories

Answer 1

• inflammation
• organ distention (tension pain)
• necrosis (ischemic pain)

Question 2

reasons for abd pain: inflammation

Answer 2

• described as steady, deep, boring
• can be poorly localized
• person will seek “quiet” position without movement

Question 3

reasons for abd pain: organ distention

Answer 3

• bowel obstruction
• constipation
• fluid accumulation from infection, etc

Question 4

reasons for abd pain: necrosis

Answer 4

• steady pain with sudden, extremely intense onset

- NOT relieved by analgesics

Question 5

primary visceral pain: regions of referral

Answer 5

• epigastric
• periumbilical
• hypogastric

Question 6

epigastric: organ referral

Answer 6

• heart
• esophagus
• stomach
• duodenum
• gallbladder
• liver
• pancreas

Question 7

periumbilical: organ referral

Answer 7

• pancreas
• small intestine
• appendix
• proximal colon

Question 8

hypogastrium: organ referral

Answer 8

• large intestine
• colon
• bladder
• uterus

Question 9

pain in periumbilical region: PT will likely see…

Answer 9

• someone with ant abd pain and LBP at same leve, but with alternating presentation
• may present with LBP when GI sx aren’t present

Question 10

quality of referred pain

Answer 10

often more intense and localized

Question 11

referred pain patterns: hyperesthesia/hyperalgesia

Answer 11

• hyperesthesia of skin

- hyperalgesia of mm

Question 12

referred pain patterns: may also present with

Answer 12

• itching
• skin temp changes
• perspiration
• dry skin

Question 13

Contraction/guarding/splinting of abdominal mm can result in

Answer 13

mm dysfunction in back with loss of motion of involved spinal segments

Question 14

Viscera and pain perception

Answer 14

• viscera does not perceive pain

- sensory system is trying to get the message out that something is wrong

Question 15

All upper quadrants have

Answer 15

stomach ulcer

Question 16

RUQ and upper middle quadrant have

Answer 16

• stomach ulcer

- pancreatitis

Question 17

All lower quadrants have

Answer 17

pelvic pain