Acute Abdomen Imaging Diagnostics
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Questions and Answers

Which structures are insensitive to pain according to the provided text?

  • Abdominal muscles and connective tissue
  • Kidneys, spleen, and pancreas
  • Small intestine, colon, and stomach
  • Visceral peritoneum, liver parenchyma, and greater omentum (correct)

In which scenario might there be no pain according to the text?

  • In the case of acute ischemia
  • In slowly developing strains like colon tumor (correct)
  • During any type of internal organ stretching
  • During an acute inflammation

Which type of pain originates from the direct stimulation of the parietal peritoneum by inflammation or irritation?

  • Somatic pain (correct)
  • Ischemic pain
  • Visceral pain
  • Referred pain

What are characteristics of parietal (somatic) pain compared to visceral pain?

<p>Sharp and well localized (A)</p> Signup and view all the answers

What is considered one of the most common causes of acute abdomen?

<p>Diverticulitis (A)</p> Signup and view all the answers

Which condition can cause visceral pain due to distention in hollow organs or capsular tension in solid organs?

<p>Ischemia (D)</p> Signup and view all the answers

Why is a careful history and examination important in diagnosing acute abdomen?

<p>To identify factors that change the severity of pain (B)</p> Signup and view all the answers

What is a characteristic feature of visceral pain location in the suprapubic region?

<p>Distal parts of the colon, rectum, and ureters (D)</p> Signup and view all the answers

What should be investigated during an assessment of a patient with acute abdomen?

<p>Other accompanying symptoms (B)</p> Signup and view all the answers

What defines parietal (somatic) pain as different from visceral pain?

<p>Increases with movement, cough, and deep inspiration (B)</p> Signup and view all the answers

Why should narcotics and analgesics be avoided until a diagnosis is made in acute abdomen cases?

<p>To avoid masking symptoms that could help in diagnosis (A)</p> Signup and view all the answers

Which type of pain is described as deep, difficult to localize, and associated with autonomic reflexes like restlessness and vomiting?

<p>Visceral pain (A)</p> Signup and view all the answers

In diagnosing acute abdomen, why is it crucial to distinguish between extra-abdominal and intra-abdominal causes?

<p>To prevent unnecessary surgical interventions (B)</p> Signup and view all the answers

What is the term used to describe vomiting up bright/fresh red blood?

<p>Hematemesis (C)</p> Signup and view all the answers

Which type of bleeding is characterized by rectal bleeding of a light red color?

<p>Hematochezia (B)</p> Signup and view all the answers

What is the black, tarry defecation known as that results from the breakdown of blood by intestinal bacteria?

<p>Melena (C)</p> Signup and view all the answers

Which part of the gastrointestinal tract does hematochezia typically indicate bleeding from?

<p>Colon (B)</p> Signup and view all the answers

What is a potential cause of hematemesis or melena among the types of upper gastrointestinal bleeding?

<p>Peptic ulcer disease (A)</p> Signup and view all the answers

Which diagnostic method involves inserting a tube via the nose into the stomach for aspiration and lavage?

<p>Gastric aspiration and lavage (C)</p> Signup and view all the answers

What is the thin muscle connecting the duodenum and jejunum known as?

<p>Treitz ligament (C)</p> Signup and view all the answers

Which condition can lead to the development of esophageal varices?

<p>Portal hypertension (C)</p> Signup and view all the answers

What may cause Mallory-Weiss tears, leading to upper gastrointestinal bleeding?

<p>Prolonged vomiting (A)</p> Signup and view all the answers

Which symptom is characteristic of lower gastrointestinal bleeding due to diverticular bleeding?

<p>Hematochezia (red blood per rectum) (A)</p> Signup and view all the answers

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