GI Pain Referral Patterns and Hernias' Flashcards
What structures refer pain to the mid-back/scapula?
- Esophagus
- Gallbladder
- Stomach
- Pancreas
What structures refer pain to the L shoulder?
- Heart
- Diaphragm
- Spleen
- Body & Tail of Pancreas
What structures refer pain to the R shoulder?
- Gallbladder
- Liver
- Head of Pancreas
What structures refer pain to the Pelvis/low back/sacrum?
- Colon
- Appendix
- Pelvic Viscera
Pain Referral Pattern of a Pancoast Tumor?
Mimics TOS; C8 - T2 nerve distribution
What structures/conditions refer pain to the abdominal RUQ?
“Good Luck Hot Pack”
- Gallbladder
- Liver
- Head of Pancreas
- Peptic Ulcers
What structures/conditions refer pain to the abdominal RLQ?
“Air Conditioning; AC”
- Appendix
- Crohn’s Disease
What structures/conditions refer pain to the abdominal LLQ?
“DUI”
- Diverticulitis
- Ulcerative Colitis
- Irritable Bowel Syndrome (IBS)
What structures/conditions refer pain to the abdominal LUQ?
“Dont Banana Split”
- Diaphragm
- Body and Tail of the Pancreas
- Spleen
What is a Positive Kehr’s Sign?
Pain felt in the left shoulder with elevation of the legs. Secondary to fluid, air, blood in the abdominal cavity.
(Kehr’s sign in the left shoulder is considered a classic symptom of a ruptured spleen.)
What is the main cause of a Hiatal Hernia?
Weak Diaphragm, usually will require surgical correction
What condition is a Hiatal Hernia similar to in terms of signs/symptoms and treatment?
GERD
Where is pain referred in a femoral hernia?
Lateral pelvic wall and groin pain
Where is pain referred in an inguinal hernia?
Causes Groin Pain
Where is pain referred in an Umbilical Hernia?
Pain around the umbilical ring, mid to lower abdomen
