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Clinical Correlatio
Clinical correlations of the abdomen
| Question | Answer |
|---|---|
| Do sympathetics slow things down or speed them up? | Slow things down |
| Do parasympathetics slow things down or speed them up? | Speed things up |
| What does visceral pain mean in regards to affernts? | Means visceral afferents are being stimulated |
| Does the vagus give you referred pain back to the CNS? | No |
| What type of symptoms make up vagal symptoms? | Clammy and skin is cold |
| Does visceral pain go away? | No |
| What pain can sometimes overshadow visceral pain? | Somatic pain |
| True or False: Visceral pain can be felt in one spot while somatic pain is felt in another spot? | True |
| If the intestine is dead are there localizing symptoms in a cat scan? | No |
| What artery supplies the region from T8 to T12? | Superior mesenteric artery |
| If there is blood from inferiro mesenteric artery that is compromised where would you feel it? | In the lower back |
| If there is pain around T8 or below below the xiphoid process what structure can you think of? | Gallbladder |
| Where do 95% of clots/peripheral emboli start? | Left atrium |
| Are superior mesenteric thrombosis and superior mesenteric artery embolization separated disease entities? | Yes |
| What is an example of voluntary guarding? | When a patient tenses up |
| Name some peritoneal signs | Peritoneal irritation or inflammation |
| Do gallstones hurt? | They hurt when they move |
| Where can gallstones travel? | Into the fundus or wedged and the bile gets infected. Stone can block the sphincter where the pancreas joins |
| Name aspects of splenic artery aneurism | They can rupture, if the aneurism is under 2cm you don't have to worry about it. It is more common in women due to childbearing. |
| Around what Tarea is the appendiix loacated? | T8 area |
| If the appendix becomes inflammed in what area will it cause pain? | T8-T12 area |
| What other inflammation can give signs like appendicitis? | Meckel's Diverticulum yolk sac remnant |
| What region is the inguinal ring? | T12-L1 |
| Describe intussusception | small Intestine can telescope on itself. Pain is felt from T8 to T12 |
| Describe volvolus | Twist of large intestine, usually at the sigmoid because the sigmoid is long |
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