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Causes of abdominal pain

clinical approach to a patient with abdominal pain

Causes of abdominal pain

  1. 1. ABDOMINAL PAIN: CAUSES-
  2. 2. Types1.Visceral2.Parietal3.Referred pain4.Vascular causes5.Metabolic causes6.Neurogenic causes7.Psychogenic
  3. 3. 1.Visceral pain distension, contraction, torsion, stretching dull aching, poorly localised unpaired structure-midline
  4. 4. 2.Parietal pain parietal peritoneum- inflammation, infection,neoplasia sharp,well localised and lateralised pain
  5. 5. 3.Referred pain MI,Pericarditis : epigastrium Diaphragmatic pleurisy,pneumonia : upper abdominal pain4.Psychogenic pain no organic causes
  6. 6. 5.Vascular causes sudden,catastrophic rupture of abdominal aorta aneurysm occlusion of superior mesentric artery
  7. 7. ACUTE ABDOMENmainly surgical1.Inflammaton develops gradually diffuse……localised movement increases pain abd rigidity,guarding
  8. 8. 2.Perforation abrupt onset, severe generalised peritonitis3.Obstruction colicky
  9. 9. CHRONIC ABDOMINALPAIN1.Retroperitoneal : Aortic aneurysm, lymphadenopathy, malignancy, abcess2.Psychogenic : Depression, hypochondriasis, anxiety, somatisation
  10. 10. 3.Locomotor : Vertebral compression, abdominal muscle strain4.Metabolic / Endocrine Diabetes, AIP, Addison’s d/s5.Drugs/Toxins Corticosteroids, Lead, Alcohol
  11. 11. 6. Haematological Sickle cell d/s, haemolytic d/s7. Neurological Spinal cord lesions, radiculopathy, Tabes dorsalis
  12. 12. CONSTANT ABDOMINALPAINMalignancyC/c pancreatitisAbdominal abcessPsychological…. ”chronic functional abdominal pain”
  13. 13. …….thank you

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