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The acute abdomen
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=== Visceral pain: === ** Mechanism *** Travels along C-fibres - in effect, autonomic afferent fibres ** Colicky pain occurs with distension *** Small bowel - every 5 minutes *** Large bowel - every 10 minutes *** Pain should disappear almost completely between attacks ** Radiates to midline - vague and poorly localised, but often epigastrium/umbilical/hypogastrium ** Occurs with '''stretching/distension''' of viscus ** Mediated by splanchnic sympathetic nerves ** Can occur from liver capsule
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