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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]
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.
Pain arising from structures supplied by the phrenic nerve is often "referred" to other somatic regions served by spinal nerves C3-C5. For example, a subphrenic abscess beneath the right diaphragm might cause a patient to feel pain in the right shoulder. Irritation of the phrenic nerve (or the tissues it supplies) leads to the hiccup reflex.
Heart disease remains the number one cause of death in the U.S. And looking for warning signs, including shoulder pain, can make a big difference.
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 ...
Seen during right ventriculography in the setting of a patent ductus arteriosus, the Goetz sign refers to the negative contrast effect seen in the pulmonary artery from non-contrast enhanced blood shunting left to right from the aorta: Gonda's sign: Viktor Gonda, Ukrainian Neuropsychiatrist, (1889–1959) neurology: pyramidal tract lesions
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 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 ...