Visceral/Pain Referral Patterns Flashcards Preview

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Flashcards in Visceral/Pain Referral Patterns Deck (30):
1

Heart referral pattern

upper quadrant
epigastrium

2

Spleen referral pattern

left chest

3

Lung and pleura referral pattern

abdomen

4

Appendix and pancreas referral pattern

umbilicus

5

Gallbladder referral pattern

shoulder blade

6

RUQ pain

-Gallbladder
-duodenum
-pancreas
-kidney
-hepatic fissure

7

LUQ pain

-stomach
-spleen
-kidney
-pancreas
-splenic fissure

8

RLQ pain

-cecum
-appendix
-ovary and tube

9

LLQ pain

-sigmoid
-ovary and tube

10

Vascular pain

tearing pain in sternum or chest

11

Neuralgia

-Shingles (sensory nerve root infection)
-Spinal cord
-Pressure from osteophyte

12

Angina

-Left, right, or B jaw, neck, shoulder girdle, medial border of upper limb

13

Lung: pancost's tumor

Tumor of apical segment can compress lower nerve roots C8-T1

14

Gallbladder referral pattern

cholecystitis can refer pain to C4 via diaphragm irritation

15

Spondylogenic pain: Osseus

Infections, neoplasms, metabolic disease, trauma

16

Spondylogenic pain: soft tissues

Ligaments, muscles

17

Spondylogenic pain: articular

discs, z-joints, rib joints, nerve root entrapment, stenosis

18

Spondylogenic pain: structural

Kypohsis, scoliosis

19

Meadows: summary of serious disease and symptoms:
Neoplasm, osteoporotic/neoplasmic fracture

-Severe root pain
-Wedging/local kyphosis

20

Meadows: summary of serious disease and symptoms:
Cardiac, Viscera, AS, neoplasm

-Pain related to stress
-Pain = activity
-Reduced SB, full rotation
-Severe chest pain without joint pain

21

Meadows: summary of serious disease and symptoms:
Neoplasm, cord pressure or ischaemia

-Spinal cord signs

22

Meadows: summary of serious disease and symptoms:
Viscera

Pain onset with eating

23

Meadows: summary of serious disease and symptoms:
Aortic Aneurysm

Pulsating abdomen

24

Dwyer: Z joint referral pattern

-C2/3 = head
-C5/6, 6/7 = shoulder girdle pain

25

Cloward: anterior cervical disc referral

-C6-7 = inf angle of scap
-C5-6 = spine of scap and superior angle
-C3-4 = C7 SP and posteroir border of trap

26

MacNab Classification of pain:
Viscerogenic

-Slow pain, hard to localize
-intense, unremitting pain, stabbing

27

MacNab Classification of pain:
Vasculogenic

Diffuse, aching, poorly localized, may be referred

28

MacNab Classification of pain:
Neurogenic

Intense pain of neuropathy
pain of stenosis or tumor

29

MacNab Classification of pain:
Psychogenic

psychogenic

30

MacNab Classification of pain:
Spondylogenic

Osseous, ligamentous, muscular, zjoint, ujoint.