USMLE Forum Archives - USMLE Step 1 - path/pathophys1
path/pathophys1
Kimo - 01-09-08 18:05
A 43 yo obese female with as history of biliary colic presents with right upper quadrant discomfort and pain in her right shoulder after eating a fatty meal. PE is significant for marked right upper quadrant tenderness during inspiration. which of the following structures is most likely involved in producing her shoulder pain?
A. Phrenic Nerve
B. Vagus Nerve
C. Expiratory motor neuron
D. Intercostal Nerve
E. Inspiratory motor neuron
Kimo - 01-09-08 18:05
A 43 yo obese female with as history of biliary colic presents with right upper quadrant discomfort and pain in her right shoulder after eating a fatty meal. PE is significant for marked right upper quadrant tenderness during inspiration. which of the following structures is most likely involved in producing her shoulder pain?
A. Phrenic Nerve
B. Vagus Nerve
C. Expiratory motor neuron
D. Intercostal Nerve
E. Inspiratory motor neuron
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#2
Re: path/pathophys1 isha52ke - 01-10-08 10:32 A phrenic nerve.
the nerve supply to the gall bladder & the phrenic nerve share the same dermatome. so when the Gall Bladder is inflamed following a stone impaction in the neck of the gall bladder it causes spasms Billiary colic RUQ pain which radiates to the back. Murphy's sign is positive when PE is done while the patient is inspiring.the is arrest of inspiration as an inflamed GB Impinges on the examining fingers. pain control is important + antiemetic.
#5
Re: path/pathophys1 galaxy - 05-27-10 20:03 A 43 yo obese female with as history of biliary colic presents with right upper quadrant discomfort and pain in her right shoulder after eating a fatty meal. PE is significant for marked right upper quadrant tenderness during inspiration. which of the following structures is most likely involved in producing her shoulder pain?
A. Phrenic Nerve
#6
Re: path/pathophys1 babbu5508 - 06-22-10 03:30 A. Phrenic Nerve..patient is likely to have gall stones as evidenced by arked right upper quadrant tenderness during inspiration.
#7
Re: path/pathophys1 bingousmle - 06-30-10 21:19 A phrenic nerve. the nerve supply to the gall bladder & the phrenic nerve share the same dermatome. so when the Gall Bladder is inflamed there is pain which radiates to the shoulder.
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