Lecture 2

Question 1

Pain: Throbbing, pounding, pulsing

Answer 1

Vascular

Question 2

Pain: Sharp, crushing, burning, hot

Answer 2

Neurogenic

Question 3

Pain: Aching, sore, dull

Answer 3

Musculoskeletal

Question 4

Pain: Miserable, agonizing, torturing

Answer 4

Emotional

Question 5

Pain: Knifelike, boring, colicky, deep cramping, gnawing, comes in waves

Answer 5

Visceral

Question 6

Visceral Referral

Answer 6

Pancreas/Duodenum can refer to back. Stomach pain is usually stomach. Kehr: usually Spleen. McBurney: appendix

Question 7

More General Visceral Pain Patterns

Answer 7

Liver: Right neck. 
Lung: Neck. 
Gallbladder: Right Flank.10th rib. Chest 
Stomach: Left Flank
Heart: Left Chest.. 
Kidney: Left under stomach. 
Appendix: Right under gallbladder. 
Spleen: Shoulder, midthoracic, low back. 
Cervix/Uterus: Low Back.

Question 8

Pelvic Organs

Answer 8

Utertus/Uterine Ligament: L-S junction, Sacral, Thoracolumbar
Ovaries: Low abs, sacral
Testes, Same as ovaries.

Question 9

Retroperitoneal

Answer 9

Kidney: Lumbar, Low+Upper Abs.
Ureter: Groin, Upper Ab, Suprapubic, medial proximal thigh, T-L
Bladder: Sacral apex, suprapubic, TL
Prostate: Sacral, testes TL

Question 10

Digestive (upper)

Answer 10

Esophagus: Substernal and upper Ab
Stomach: Upper Ab, mid-lower T spine
Small intestine: Mid T-spine
Pancreas: Upper ab, low T-spine, Upper L spine
Gallbladder: R Upper Ab, R mid and low T spine, Causal scapula.

Question 11

Digestive (lower)

Answer 11

Liver: R mid and lower T spine, R C spine
Common bile duct: Upper ab, Mid T Spine
Large Intestine Lower ab and mid L spine
Sigmoid: Upper sacral, suprapubic, L lower quadrant

Question 12

CV

Answer 12

Heart: Anterior cervical, upper thorax, L UE
Lungs/Bronchi: Ipsi T spine, cervical
Diaphragm C spine

Question 13

Orthopnea

Answer 13

Shortness of gre

Question 14

CV System Symptoms

Answer 14

Dyspnea
Orthopnea
Palpitations
Pain wit sweats
Syncope
Peripheral edema
Cough

Question 15

Peripheral Vascular Symptoms

Answer 15

Edema
Cold hands/feet
Skin discoloration
Open wounds

Question 16

Pulmonary

Answer 16

Dyspnea
Tachypnea >20 BPM
Cough: chronic >3weeks
Stridor (high pitch breathing)
Wheezing
Clubbing of nails: rounded convex