https://quizlet.
com/286301471/pd-peat-1-topics-referred-pain-npte-flash-cards/
esophagus and aortic aneurysm between shoulder blades
pancreas mid low back and under left rib.
pancreatitis mid epigastric pain radiating thru to back.
where is epigastric pain right below your ribs in the area of your upper abdomen.
what is cholecystitis Cholecystitis is inflammation of the gallbladder.
where is cholecystitis felt abdominal and Right upper quadrant
heart and lung chest, back, neck ,jaw, arms.
abdominal aortic aneurysm nonspecific lumbar pain.
kidney, bladder, ovary and uterus trunk, pelvis, thighs.
spleen left epigastric front and back.
where is the spleen? right under the lateral left lung.
what does the spleen do? it's like a large lymph node.
it filters out old red blood cells and makes antibodies and removes antibody-coated bacteria and
antibody-coated blood cells by way of blood and lymph node circulation
where is the apex of the patella? the bottom.
base is the top.
what is myelopathy? any neurologic deficit related to the spinal cord
what is myotonia? delayed relaxation of muscles after voluntary contraction or electrical
stimulation
what does tarsal tunnel syndrome look like? numbness in the foot radiating to the big toe and the
first 3 toes, pain, burning, electrical sensations, and tingling over the base of the foot and the heel
where is the tarsal tunnel? right behind medial malleous
what is tarsal tunnel syndrome also known as? posterior tibial neuralgia
difference between myelopathy and radiculopathy? Myelopathy may sometimes be
accompanied by radiculopathy. Radiculopathy is pinching of the nerve roots as they exit the
spinal cord or cross the intervertebral disc, rather than the compression of the cord itself
PVC's occurring in pairs is couplets
PVC's occurring every other beat is bigeminy
CTSIB conditions one to three all firm surface. open, closed, conflict eyes.
CTSIB condiiton 4-5-6 compliant surface. open, closed, conflict.
CTSIB visual dependence 2,3,5,6
CTSIB surface dependent 4,5,6
CTSIB vistibular loss 5,,6
CTSIB sensory selection probl 3,4,5,6
capsular pattern of occipitoatlantial joint? flexion limited more than extension
capsular pattern of atlanto axial joint? limitation with rotation
lower C spine capsular pattern? sidebend and rotation equally limited and both greater than
extension. flexion not limited.
shoulder capsular pattern external, abduction, internal.
humero ulnar and radial loss of flexion more than extension.
forearm pronation and supination the same
wrist capsule pattern flexion same as extension.
hand digits flexion more than extension
T spine capsule pattern Sidebend and rotation, then extension, then flexion
lumbar spine capsule pattern extension more than flexion. sidebend and rotation the same
hip capsule pattern limited flexion and internal rotation.
some limitation abduction.
little or no limitation in adduction or external.
knee capsule pattern flexion more than extension
talocrural capsule pattern planterflexion more than dorsi
subtalor capsule pattern joint fixed in valgus, limitations in varus.
midtarsal capsule pattern supination more than pronation
first MTP limited extension, slight limit flex
MTP 2 to 5 flexion restrictions
interphalangeal extension restrictions.
medial left arm pain with pain in jaw heart attack
Right sub scapular pain gall bladder attack
Thoracic or flank painkidney problems
Left upper quadrant and shoulder pain Spleen
Right upper quadrant pain Liver
https://quizlet.com/454225153/npte-referred-pain-patterns-flash-cards/
Pain percieved in upper traps Diaphragm
Left axilla and pectoral region Heart
Tip of the shoulder and scapular region Gall Bladder
Head of Pancreas Right shoulder
Tail of Pancreas Left shoulder
Oesophagus Pain referred to Mid back
Pancost tumor C8 and T1 nerve root distribution
Liver Right UQ and Right Shd
Peptic Ulcer Right UQ and Right Shd
Gall Bladder Mid back and Scapula
Stomach Mid back and Scapula
Small Intestine Mid back and Scapula
kidneys low back pain and/or ipsilateral shoulder
Hiatal Hernia shoulder pain
Femoral Hernia Lateral Pelvic wall
Inguinal Hernia groin pain
Umblical Hernia Umbilicus, mid to lower abdomen
Diaphragm Left Shoulder
Kehr's sign - which organs and where ? Spleen and stomach at left shoulder
Murphy's sign Cholecystitis gall bladder
Mac Burneys point Appendix
Roosvigs Signs Palpate at Lt Lq, pain refered to rt ..indicates appendicitis
Pinch and inch on Lt Diverticulitis
Pinch and inch on Rt Appendix
Blumberg signRebound tenderness..indicates Peritonitis
Markle sign RLQ pain elicited by dropping from standing on toes to heel.. jarring effect
localized peritonitis due to appendicitis
Obturator sign flex and ir -> appendicitis
Psoas sign extn of le - appendicitis
Cullen's sign and grey turner sign acute pancreatitis ( bruising around the umbilical region)
https://quizlet.com/172124804/referred-pain-flash-cards/
Duodenum Epigastric region
Upper shoulder (irritation of diaphragm)
Pancreas Central epigastric region
Left back approx at level of the diaphragm
Gallbladder Right upper quadrant (just above the costal margin) wrapping up and around
toward the scapula
Upper shoulder (irritation of diaphragm)
Liver Right upper quadrant (along the costal margin) wrapping down toward sacral region
Upper shoulder (irritation of the diaphragm)
Appendix Umbilical region radiating toward right lower quadrant
UretersInguinal regions extending along groin
Kidneys Flanks (left and right lumbar regions) at about the level of the umbilicus wrapping
around to the back
Stomach Epigastric region following the costal margin and wrapping under the left arm.
Between the shoulder blades.
Spleen Left upper quadrant, lateral side.
Esophagus Sternal region
Heart Left pectoral region radiating down the medial side of the left arm and up toward the
neck.
Small intestineUmbilical region
Duodenum Central epigastric region
Upper shoulder (irritation of the diaphragm)
Cecum Hypogastric region
Sigmoid colon Left and right margins of the hypogastric region.
Diaphragm Top of shoulder wrapping down over the scapula
https://quizlet.com/304531601/npte-referred-pain-patterns-flash-cards/
Where can pain from the esophagus refer to?Midback
Head/neck
Where can pain from the diaphragm refer to? Shoulder
Where can liver pain refer to?Shoulder
Where can pain from the pericardium refer to? Shoulder
Where can pain from the appendix refer to? Abdomen
Low back
Pelvis
Sacrum
Where can colon pain refer to? Lowback
Pelvis
Sacrum
Where can pancreatic pain refer to? Scapula
Midback
Where can gallbladder pain refer to? Right Scapula
Midback
RUQ
Abdominal pain
Where can heart pain refer to? Chest
Back
Neck
Jaw
Upper extremity
You suspect a patient has an aortic aneurysm. Where can this pain refer to? Midback pain
Low back pain
Where can kidney pain refer to? Trunk
Pelvis
Thigh
Where can bladder pain refer to? Trunk
Pelvis
Medial Thigh
Where can pain from the ovary refer to? Trunk
Pelvis
Thigh
Where can pain from the uterus refer to? Trunk
Pelvis
Thigh
Where can pain due to constipation refer to? Anterior groin, hip, and thigh region
Where can stomach pain refer to? Scapula
Midback
Where can intestinal pain refer to? Scapula
Midback
Your patient has a history of using opiods and is now complaining of pain in the anterior hip,
groin, and thigh. He complains of constipation. What is the cause of this patient's pain?
Obstipation
Your patient has a positive Murphey's sign. What does this mean? Acute cholecystitis
Your patient has upper abdominal pain that radiates to the right scapula. Where is this pain being
referred from? Gallbladder
Your patient complains of band-like pain that radiates to the back and is worse in a supine
position. Where is this pain being referred from? Pancreas
Pain in the left lower quadrant is indicative of what? (coupled with nausea, vomiting, and
elevated WBC count) Diverticulitis
Pain the left upper quadrant is indicative of what? Pancreatitis
Pain the right upper quadrant is indicative of what? Gallbladder
A positive Roving's sign (palpation of LLQ leads to pain the RLQ) is indicative of what?
Appendicitis
Where can pain from the prostate refer to? Lower abdominals
Rectum
Low back
Sacrum
Groin
Where can pain from Chron's disease refer to? Hip/pelvis
Relieved by passing gas
Your patient complains of burning pain. What is the source of pain? Neurological
Your patient complains of achin pain. What is the source of the pain? Musculoskeletal
Your patient complains of throbbing pain. What is the source of pain? Vascular
Your patient complains of agonizing pain. What is the source of pain? Emotional
Referred pain for femoral hernia? Lateral pelvic wall
https://quizlet.com/562100164/npte-referred-pain-patterns-flash-cards/
Pain percieved in upper traps Diaphragm
Left axilla and pectoral region Heart
Tip of the shoulder and scapular region Gall Bladder
Pancreas Common: Mid to low back
Rare: Upper back, midscapular
Somatic pain from the Tail of the pancreas hitting the diaphragm: Left shoulder
Head of the pancreas: right shoulder
Esophagus Pain referred to Mid back
Liver Right Shoulder pain
Back pain between spine and scapula on the right side
Peptic Ulcer Right UQ and Right Shd
Gall Bladder Mid back and Scapula
Stomach Mid back (T6-T10), Right shoulder/upper trap and Right Scapula
Small Intestine Low back (L3-L4)
kidneys low back pain and/or ipsilateral shoulder
Hiatal Hernia shoulder pain
Femoral Hernia Lateral Pelvic wall
Inguinal Hernia groin pain
Umblical Hernia Umbilicus, mid to lower abdomen
Diaphragm Left Shoulder
Kehr's sign - which organs and where ? Spleen and stomach at left shoulder
Murphy's sign Cholecystitis gall bladder
Mac Burneys point Appendix
Roosvigs Signs Palpate at Lt Lq, pain refered to rt ..indicates appendicitis
Pinch and inch on Lt Diverticulitis
Appendix Location: RLQ pain
Referral: First referred to epigastric or peri-umbilical area
Right hip and/or right testicle
Blumberg signRebound tenderness..indicates Peritonitis
Markle sign RLQ pain elicited by dropping from standing on toes to heel.. jarring effect
localized peritonitis due to appendicitis
Obturator sign flex and ir -> appendicitis
Psoas sign extn of le - appendicitis
Cullen's sign and grey turner sign acute pancreatitis ( bruising around the umbilical region)
large intestine Sacrum (posterior) when the rectum is stimulated
