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[6] [7] [4] [8] The symptoms are purely sensory because the LFCN has no motor function. [4] This syndrome can be caused by anything which places prolonged pressure on the LFCN, such as wearing a tight belt. [4] [2] [3] The diagnosis is typically done via clinical examination and patient history, followed by a diagnostic nerve block.
[8] [9] Symptoms may include abdominal bruising (seat belt sign), or less commonly paralysis of the legs. [4] [10] In around half of cases there is an associated abdominal injury such as a splenic rupture, small bowel injury, pancreatic injury, or mesenteric tear. [3] [5] Injury to the bowel may not be apparent on the first day. [11]
The diagnosis is confirmed when the patient reports a significant change in relief from pain and the diagnostic injection is performed on two separate visits. Published studies have used at least a 75 percent change in relief of pain before a response is considered positive and the sacroiliac joint deemed the source of pain.
Medically unexplained physical symptoms (MUPS or MUS) are symptoms for which a treating physician or other healthcare providers have found no medical cause, or whose cause remains contested. [1] In its strictest sense, the term simply means that the cause for the symptoms is unknown or disputed—there is no scientific consensus .
Seat belt syndrome is a collective term that includes all injury profiles associated with the use of seat belts. It is defined classically as a seat belt sign (seat belt marks on the body) plus an intra-abdominal organ injury (e.g. bowel perforations) and/or thoraco - lumbar vertebral fractures. [ 1 ]
It is sometimes also referred to as reason for encounter (RFE), presenting problem, problem on admission or reason for presenting. [ citation needed ] [ 1 ] The chief complaint is a concise statement describing the symptom , problem, condition , diagnosis , physician -recommended return, or other reason for a medical encounter. [ 2 ]
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Orthostatic intolerance (OI) is the development of symptoms when standing upright that are relieved when reclining. [1] There are many types of orthostatic intolerance. OI can be a subcategory of dysautonomia, a disorder of the autonomic nervous system [2] occurring when an individual stands up. [3]