tailieunhanh - Chapter 014. Abdominal Pain (Part 3)

Vascular Disturbances A frequent misconception, despite abundant experience to the contrary, is that pain associated with intraabdominal vascular disturbances is sudden and catastrophic in nature. The pain of embolism or thrombosis of the superior mesenteric artery or that of impending rupture of an abdominal aortic aneurysm certainly may be severe and diffuse. Yet, just as frequently, the patient with occlusion of the superior mesenteric artery has only mild continuous diffuse pain for 2 or 3 days before vascular collapse or findings of peritoneal inflammation appear. The early, seemingly insignificant discomfort is caused by hyperperistalsis rather than peritoneal inflammation. Indeed, absence. | Chapter 014. Abdominal Pain Part 3 Vascular Disturbances A frequent misconception despite abundant experience to the contrary is that pain associated with intraabdominal vascular disturbances is sudden and catastrophic in nature. The pain of embolism or thrombosis of the superior mesenteric artery or that of impending rupture of an abdominal aortic aneurysm certainly may be severe and diffuse. Yet just as frequently the patient with occlusion of the superior mesenteric artery has only mild continuous diffuse pain for 2 or 3 days before vascular collapse or findings of peritoneal inflammation appear. The early seemingly insignificant discomfort is caused by hyperperistalsis rather than peritoneal inflammation. Indeed absence of tenderness and rigidity in the presence of continuous diffuse pain in a patient likely to have vascular disease is quite characteristic of occlusion of the superior mesenteric artery. Abdominal pain with radiation to the sacral region flank or genitalia should always signal the possible presence of a rupturing abdominal aortic aneurysm. This pain may persist over a period of several days before rupture and collapse occur. Abdominal Wall Pain arising from the abdominal wall is usually constant and aching. Movement prolonged standing and pressure accentuate the discomfort and muscle spasm. In the case of hematoma of the rectus sheath now most frequently encountered in association with anticoagulant therapy a mass may be present in the lower quadrants of the abdomen. Simultaneous involvement of muscles in other parts of the body usually serves to differentiate myositis of the abdominal wall from an intraabdominal process that might cause pain in the same region. Referred Pain in Abdominal DiseasesPain referred to the abdomen from the thorax spine or genitalia may prove a vexing diagnostic problem because diseases of the upper part of the abdominal cavity such as acute cholecystitis or perforated ulcer are frequently associated with intrathoracic

• 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