tailieunhanh - Chapter 014. Abdominal Pain (Part 2)

Some Mechanisms of Pain Originating in the Abdomen Inflammation of the Parietal Peritoneum The pain of parietal peritoneal inflammation is steady and aching in character and is located directly over the inflamed area, its exact reference being possible because it is transmitted by somatic nerves supplying the parietal peritoneum. The intensity of the pain is dependent on the type and amount of material to which the peritoneal surfaces are exposed in a given time period. For example, the sudden release into the peritoneal cavity of a small quantity of sterile acid gastric juice causes much more pain than the same. | Chapter 014. Abdominal Pain Part 2 Some Mechanisms of Pain Originating in the Abdomen Inflammation of the Parietal Peritoneum The pain of parietal peritoneal inflammation is steady and aching in character and is located directly over the inflamed area its exact reference being possible because it is transmitted by somatic nerves supplying the parietal peritoneum. The intensity of the pain is dependent on the type and amount of material to which the peritoneal surfaces are exposed in a given time period. For example the sudden release into the peritoneal cavity of a small quantity of sterile acid gastric juice causes much more pain than the same amount of grossly contaminated neutral feces. Enzymatically active pancreatic juice incites more pain and inflammation than does the same amount of sterile bile containing no potent enzymes. Blood and urine are often so bland as to go undetected if their contact with the peritoneum has not been sudden and massive. In the case of bacterial contamination such as in pelvic inflammatory disease the pain is frequently of low intensity early in the illness until bacterial multiplication has caused the elaboration of irritating rate at which the irritating material is applied to the peritoneum is important. Perforated peptic ulcer may be associated with entirely different clinical pictures dependent only on the rapidity with which the gastric juice enters the peritoneal cavity. The pain of peritoneal inflammation is invariably accentuated by pressure or changes in tension of the peritoneum whether produced by palpation or by movement as in coughing or sneezing. The patient with peritonitis lies quietly in bed preferring to avoid motion in contrast to the patient with colic who may writhe characteristic feature of peritoneal irritation is tonic reflex spasm of the abdominal musculature localized to the involved body segment. The intensity of the tonic muscle spasm accompanying peritoneal .

• Y học thường thức
• Abdominal Pain
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• BMC Pediatrics
• Intravenous calcium Gluconate alleviates
• Lead induced abdominal pain
• Randomized clinical trial
• Irritable bowel syndrome
• Functional abdominal pain
• Functional abdominal pain syndrome
• Randomized controlled trial
• Functional gastrointestinal disorders
• Lower abdominal pain
• The first trimester
• During pregnancy
• Surgical of lower abdominal
• Necessary diagnostics
• History taking
• Communication skills
• Abdominal distention
• Alcohol intake
• Chronic pain
• Increasing clinical significance
• Potential sociodemographic
• BMC Anesthesiology
• Chronic pelvic pain
• Ischemic compression
• Local anaesthetic injection
• Trigger point
• Abdominal wall
• Myofascial syndrome
• Talking to children
• The terrible twos
• Sleep problems
• Respiratory tract infection
• Acute abdominal pain
• Recurrent abdominal pain
• Vomiting and acute diarrhea
• Functional gastrointestinal disorder
• Emotional stress
• Extra intestinal symptoms
• Rapunzel syndrome
• Iron deficiency anemia
• Case report
• BMC Musculoskeletal Disorders
• Chronic low back pain
• Exercise therapy
• Motor control
• Abdominal hollowing
• Primitive reflexes
• Stability exercise
• Abstract of Medical Phd thesis
• Abstract of Phd thesis
• Postoperative pain management
• Continuous wound infusion levobupivacaine
• Via multi hole catheter after abdominal surgery
• Electric ear acupuncture
• Post operative pain relief
• Abdominal hysterectomy
• Somatic pain threshold
• Interventional pain management
• Ultrasound guided spine injections
• Ultrasound guided abdominal
• Spine sonoanatomy
• Ultrasound technical aspects
• Critical care
• Upper abdominal pain
• Acute severe leg pain
• Testicular pain after playing football
• Painful red eye
• Chicken bone impaction
• Post operative pain
• Multimodal therapy
• Preemptive analgesia
• Pain management and laparotomy surgery
• Abdominal trunk muscle
• Innovative exercise device
• Muscle strength measurement
• Older women
• Risk of falling
• A case based clinical review
• Bilious emesis
• Nonbilious emesis
• Gunshot wound
• Abdominal pain following motor vehicle accident
• Penetrating abdominal trauma
• P ostoperative decreased urine output
• Emergency service
• Point of care systems
• Emergency department
• Nonspecific abdominal pain
• Abdominal mass