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Referred pain, also called reflective pain, [1] is pain perceived at a location other than the site of the painful stimulus.An example is the case of angina pectoris brought on by a myocardial infarction (heart attack), where pain is often felt in the left side of neck, left shoulder, and back rather than in the thorax (chest), the site of the injury.
The major symptom and signs include an acute onset of RUQ abdominal pain aggravated by breathing, coughing or laughing, which may also present with referred pain to the right shoulder. There is usually also tenderness on palpation of the right upper abdomen and tenderness to percussion of the lower ribs which protect the liver.
Kehr's sign is a classic example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the collarbone. This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic nerve, C3, C4, and C5. [citation needed]
abdominal mass and/or pain: Am J Med Sci 174 (1927): 579–599: supine patient lifts head from bed;↑ pain – abdominal wall ;↓ pain – intraperitoneal Carvallo's sign: José Manuel Rivero Carvallo: cardiology: tricuspid regurgitation: increase in volume of murmur on inspiration Casal collar: Gaspar Casal: nutrition: pellagra (niacin ...
Pain from a stomach ulcer or gallstone can be interpreted by the brain as pain from the stomach, liver, gall bladder, duodenum, or first part of the small intestine. It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the appendix is a piece of intestine, it follows a similar referral pattern.
Abdominal pain can be referred to as visceral pain or peritoneal pain. The contents of the abdomen can be divided into the foregut , midgut , and hindgut . [ 14 ] The foregut contains the pharynx , lower respiratory tract , portions of the esophagus , stomach , portions of the duodenum (proximal), liver , biliary tract (including the ...
Pain from cancer of the organs, such as the stomach or liver (visceral pain), is diffuse and difficult to locate, and is often referred to more distant, usually superficial, sites. [18] Invasion of soft tissue by a tumor can cause pain by inflammatory or mechanical stimulation of pain sensors, or destruction of mobile structures such as ...
Kehr's sign which is referred pain to left shoulder due to ruptured spleen or blood or irritant in peritoneal cavity. Murphy's sign which is tested for during an abdominal examination; it is performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right side at the mid-clavicular line (the ...
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