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A 25-year-old man is admitted to the emergency department with acute abdominal pain that began in the epigastric area and has now shifted to the lower right quadrant of the abdomen. There is localized tenderness and guarding or spasm of the muscle over the area. His heart rate and blood pressure are elevated, and his skin is moist and cool from perspiring. He is given a tentative diagnosis of appendicitis and referred for surgical consultation.
-Describe the origin of the pain stimuli and the neural pathways involved in the pain that this man is experiencing.
-Explain the neural mechanisms involved in the spasm of the overlying abdominal muscles.
-What is the significance of his cool, moist skin and increased heart rate and blood pressure?
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