pain을 동반함)
(1)abdominal pregnancy
-tenderness and guardening in one or both LQ
-hemoperitoneum이 생김에 따라 generalized abdominal distention과 rebounding tenderness가 prominent해짐
(2) leaking of ruptured ovarian cyst
-torsion , rapidly expending , infected leaking되지 않는 한 ovarian cyst는 대개 급성 통증이 없음
-onset은 sud
Pain의 기전
VISCERAL PAIN
Visceral pain is transmitted by C fibers that are found in muscle, periosteum, mesentery, peritoneum, and viscera. Most painful stimuli from abdominal viscera are conveyed by this type of fiber and tend to be dull, cramping, burning, poorly localized, and more gradual in onset and longer in duration than somatic pain. Because abdominal organs transmit sensory af
1. Graves’ disease
-antithyroid drug: PTU, carbimazole, methimazole
-radioiodine: 131I
2. Acute Gastro-Enteritis
-GFS f/u
Thyrotoxicosis is defined as the state of thyroid hormone excess and is not synonymous with hyperthyroidism
But, the major etiologies of thyrotoxicosis are hyperthyroidism caused by Grave’s disease, toxic MNG, and toxic adenomas
2. Pathogenesis (cont.)
abdominal aorta may occur without the development of ischemic symptoms.
Acute occlusion in the distal abdominal aorta is medical emergency because it threatens the viability of the lower extremities
It usually results from an occlusive embolus that almost always originates from the heart
Clinical manifestations
: severe rest pain, coolness, pallor of the lower extremities and th