Referred Pain of Abdomen
Terms
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- Distal Esophagus
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- Lateral horn T5-T9
- T6 - T9 dermatomes
- Epigastric region - Stomach
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- Lateral horn T5-T9
- T6-T9/T10 dermatomes
- Epigastric or L hypochondriac regions - Duodenum
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- Lateral horn T5-T9
- T7-T8 dermatomes
- Epigastric region - Liver and Bilary system
-
- Lateral horn T6-T9
- T6-T9 dermatomes
- Epigastric --> R hypochondriac region - Pancreas
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- Lateral horn T5-T9
- T8-T9 dermatomes
- Inferior epigastric region - Spleen
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- Lateral horn T5-T9
- T6-T8 dermatomes
- L shoulder - Jejunum and ileum
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- Lateral horn T5-T10
- T9-T10 dermatomes
- Periumbilical region - Cecum - proximal 2/3 of transverse colon
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- Lateral horn T10-T12
- From cecum-prox sigmoid colon
- T10-T12 dermatomes
- Hypogastric region and L1-L3 dermatomes LLQ
- Appendix = T10 & umbilical region - Distal 1/3 transverse - anal canal (above pectinate line)
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- Lateral horn L1-L2
- From distal sigmoid colon to proximal anal canal:
- S2-S4 dermatomes
Left Lower Quadrant
(proximal large intestine is hypogastric) - Gall bladder
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Early: R epigastric region via GVAs
Late: R hypochondriac via GSAs (if GB irritates diaphragm, then pain may refer to right subscapular and /or right shoulder via GSAs in R phrenic n) - Kidneys/Ureters
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Flank (side of body between pelvis and ribs)
inguinal region and genitals - Umbilicus Dermatome
- T10
- Hypogastric region dermatomes
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aka "suprapubic region"
T12/L1