MRCP UK EXAMINATIONS

ABDOMINAL

ABDOMINAL STATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Abdominal pain around the navel in early appendicitis What kind of pain mechanism is it?
A
visceral
B
parietal
C
referral
D
None of the above
Explanation: 

Detailed explanation-1: -The main symptom of appendicitis is abdominal pain. This is initially peri-umbilical, classically dull and poorly localised (from visceral peritoneum inflammation), but later migrates to the right iliac fossa, where it is well-localised and sharp (from parietal peritoneum inflammation).

Detailed explanation-2: -The initial pain represents a referred pain resulting from the visceral innervation of the midgut, and the localised pain is caused by involvement of the parietal peritoneum after progression of the inflammatory process. Loss of appetite is often a predominant feature, and constipation and nausea are often present.

Detailed explanation-3: -Visceral pain, the pain we feel when our internal organs are inflamed, diseased, damaged or injured, is by far the most common type of pain. All of us will have experienced pain emanating from our internal organs, from the mild discomfort of indigestion to the agony of renal colic.

Detailed explanation-4: -Somatic pain is in the muscles, bones, or soft tissues. Visceral pain comes from your internal organs and blood vessels. Somatic pain is intense and may be easier to pinpoint than visceral pain. That’s because your muscles, bones, and skin are supplied with a lot of nerves to detect pain.

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