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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]
Pancreatitis is a condition characterized by inflammation of the pancreas. [1] The pancreas is a large organ behind the stomach that produces digestive enzymes and a number of hormones. [1] There are two main types: acute pancreatitis, and chronic pancreatitis. [1] Signs and symptoms of pancreatitis include pain in the upper abdomen, nausea and ...
Symptoms include right upper abdominal pain, pain in the right shoulder, nausea, vomiting, and occasionally fever. [1] Often gallbladder attacks (biliary colic) precede acute cholecystitis. [1] The pain lasts longer in cholecystitis than in a typical gallbladder attack. [1] Without appropriate treatment, recurrent episodes of cholecystitis are ...
Acute pancreatitis (AP) is a sudden inflammation of the pancreas.Causes include a gallstone impacted in the common bile duct or the pancreatic duct, heavy alcohol use, systemic disease, trauma, elevated calcium levels, hypertriglyceridemia (with triglycerides usually being very elevated, over 1000 mg/dL), certain medications, hereditary causes and, in children, mumps.
Chronic pancreatitis is a long-standing inflammation of the pancreas that alters the organ's normal structure and functions. [1] It can present as episodes of acute inflammation in a previously injured pancreas, or as chronic damage with persistent pain or malabsorption.
Tony was on the verge of a catastrophic heart attack, and the shoulder pain was “referred pain” as the heart was screaming for help. Thankfully, despite 100% blockage in a key artery, Tony ...
Murphy's sign has a high sensitivity and negative predictive value, although the specificity is not high. [2] However, in the elderly the sensitivity is markedly lower; a negative Murphy's sign in an elderly person is not useful for ruling out cholecystitis if other tests and the clinical history suggest the diagnosis.
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...