Shared Flashcard Set

Details

GI-ICM
Abdomenal Pain
11
Medical
Graduate
02/10/2011

Additional Medical Flashcards

 


 

Cards

Term
What disease can mimic angina exactly
Definition
Esophogeal Spasms
Term
What number cause of absenteeism at work is functional abdominal pain?
Definition
2nd
Term
What are the most likely underlying mechanisms responsible for functional abdominal pain
Definition

Dysmotility(changes in tone/spasticity) causing distention->Pain

Visceral Hyperalgesia/Hypervigilence

 

Term
Why is functional abdomenal pain less likely to be diagnosed and treated?
Definition

Inadequate understanding of the disease

Insensitive Testing

Pathophysiology unknown

Term
What are some areas to address in treating a patient with abdominal pain with a holistic approach
Definition

Legitimize

Educate

Address Psychiatric

Term
Why are abdominal symptoms distribution often misleading to the cause of the pain
Definition

Large Visceral Fields

Overlapping Visceral fields

Localize only when the mesentary is involved

Poor signal quality

Only C-fiber

Multivisceral imput

Bilateral imput

More sparse toward anus

No viscerotrophism

Term
What are the only areas of the GI that exhibit visceral trophism?
Definition

Esophogus

Pharynx

Term
Area of the brain responsible for the visceral response to stress?
Definition
Locus Cerulius
Term
What are some ways the GI pain signals are modified?
Definition

Locus Cerulius

Referred Pain

Gate Theory

Adaptation

Reflex(local modulation)

Term

How do Visceral and Somatic Pain perception differ in:

Dorsal horn laminae

Receptor type

Fiber Typer

Extent of Innervation

Definition

Dorsal Horn:

visceral-I,V

somatic-II,IV,V

Receptors:

visceral-free nerve

somatic-polymodal

Fiber Type:

visceral-C fiber

somatic-A-delta, some C

Extent of Innervation:

visceral-scant

somatic-dense

Term
What are the transmitters used for visceral afferents in the spinal afferents and the vagus afferents(nodose ganglion)?
Definition

Vagus: Ach

Spinal: Ach, Substance P, CGRP

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