Pain

1
? ?
? ? ???????? ??????????
2
??

• ??(abodominal pain)
• ???????????,??????????????
• ???????????????????????????????????????????
  ??????

3
??

• ??(abdominal pain)
• ????????????,??????????????????????
• ?????????????????????????????

4
??????

• LIQOR AAA
• 1.???? Location
• 2.???? Intensity
• 3. ???? Quality
• 4.???? Onset
• 5.??? Radiation
• 6.??????? A A
• 7.???? Associated symptoms

5
(No Transcript)
6
Location(????, ???)
Stomach, duodenum
Small bowel, proximal half colon
Distal half colon
7
Intensity(????)
Intestinal Colic
Biliary Colic, Pancreatic
Ulcer
8
Quality(????)

• ?????????????????
• ?????? ???????
• ????????? ?????
• ???????????????????
• ????????? ?????

9
Onset(????)

• ???????????????????
• ?????????????????
• ?????????
• ?????????
• ????????????????

10

• Radiation(???????)
• ?????????????????,??????????????
• ??????????????
• ???????????
• ??????????,????
• ????????(McBurney point)?

11
???????

• ???????????????????,????????????????????.?????
  ?????,?????????,???????????????

12
?????

• ???????????,??????????????
• ????
• ???????
• ??????,??????????
• ????????????

13
?????

• ???????????????,???????????
• ????
• ????
• ?????????
• ????????
• ??????????????

14
Aggravating factor??(??)??

• ????????????????
• ??????????????
• ???????????
• ????????????
• ???????????

15
Alleviating factor(????)

• ???????????
• ????????????????
• ????????????
• ???????????
• ???????????

16
Associated symptoms????

• ????????????
• ??????????
• ??????????
• ????????????
• ?????????????????

17
??????

• Plain X-rays (flat plate)
• Contrast studies - barium (upper and lower
• GI series)
• Ultrasound
• CT scanning
• Endoscopy
• Sigmoidoscopy, colonoscopy

18

• ?????????,????????????????
• 1.?????
• ????????????,??????????????
• ??????????,??????
• ???????????????

19

• 2.????????
• ??????,
• ?????????,?
• ???????,
• ?????,??????????
• ???????????,???????????????????????????????
  ??????????????

20

• ???????????????????,???????????????,????????,?????
  ??,????,?????,?????????,??????????,?????????????
  ???????????X?????????????????????????????

21

• 3.?????
• ???????,
• ??????????,
• ??????,???????
• ????????????????
• ???????????????????????????????????

22

• ??????????,??????,??????????????????????????,?????
  ???????????????????????,12???????????,???????????
  ??????,???????????????,??????????????????????????,
  ?????????

23

• 4.???????
• ???????????
• ??????????????
• ?,
• ????????
• Murphy???????????
• ??????????????

24

• 5.?????
• ?????????,????????,??????????
• ???????????????????
• ????????????????

25

• ?????????,?????????,????????,?????????,?
  ??????????????,???????????????????????????????X???
  ?????????????????????CT?????????????????

26

• 6.???
• ???????? ??,?????????????????????????????,
  ??????????????????????,??????,???????????

27

• ????????????????,?????,???????????????????
  ??????,??????????????,??????,???????????????????X?
  ????,???????,??????????????????

28

• 7.??????
• ?????????,
• ??????,
• ??????????

29

• ????,?????????,????????????????,?????,????
  ??????????????????????????????????????????????????
  ???????,?????????????????????CT???????????????????
  ?????

30

• 8.?????
• ???????,??????????????,????????????????
• ???????????????,???X??????????????????

31

• 9.??????
• ??????,?????????,?????????????????????????????
  ??,??????,??????????????????,?????????????????????
  ???????,?????????????????????????

32

• 10.???
• ??????????????,???????????????????????????????????
  ?,?????????????????,??????????????????????????????
  ?,??????,?????????,????????,??????????????????????
  ??,???????????????