Acute Abdomen Imaging Diagnostics

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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?

Sharp and well localized Signup and view all the answers

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

Diverticulitis Signup and view all the answers

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

Ischemia Signup and view all the answers

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

To identify factors that change the severity of pain Signup and view all the answers

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

Distal parts of the colon, rectum, and ureters Signup and view all the answers

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

Other accompanying symptoms Signup and view all the answers

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

Increases with movement, cough, and deep inspiration Signup and view all the answers

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

To avoid masking symptoms that could help in diagnosis 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?

Visceral pain Signup and view all the answers

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

To prevent unnecessary surgical interventions Signup and view all the answers

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

Hematemesis Signup and view all the answers

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

Hematochezia Signup and view all the answers

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

Melena Signup and view all the answers

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

Colon Signup and view all the answers

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

Peptic ulcer disease Signup and view all the answers

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

Gastric aspiration and lavage Signup and view all the answers

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

Treitz ligament Signup and view all the answers

Which condition can lead to the development of esophageal varices?

Portal hypertension Signup and view all the answers

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

Prolonged vomiting Signup and view all the answers

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

Hematochezia (red blood per rectum) Signup and view all the answers