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Your patient was diagnosed with cholecystitis (gallbladder inflammation) three days ago. The patient now presents with nausea, vomiting, and pain in the right shoulder. The pain in the shoulder can be classified as:

A. somatic pain.
B. visceral pain.
C. pancreatic pain.
D. referred pain.

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User Van Peer
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Final answer:

The patient's shoulder pain is referred pain, which occurs when pain from one part of the body is felt in another, such as the right shoulder feeling pain from gallbladder inflammation.

Step-by-step explanation:

The patient's pain in the right shoulder following a diagnosis of cholecystitis can be classified as referred pain. Referred pain is a phenomenon where pain is perceived at a location different from the site of the painful stimulus. It is a common occurrence in patients with conditions affecting internal organs. In this case, the gallbladder's close proximity to the diaphragm and the phrenic nerve's pathway can lead to referred pain in the shoulder area, also known as Kehr's sign. Although the original source of the pain is the gallbladder, nerve pathways connected to the diaphragm can transmit pain signals that the brain interprets as originating from the shoulder.

Conditions like cholecystitis can cause inflammation that irritates the diaphragm, and because the diaphragm shares nerve pathways with the shoulder, particularly the phrenic nerve, pain can be felt in areas like the right shoulder, which has no actual issue itself. In contrast, somatic pain is typically associated with pain arising from skin, muscles, and joints; visceral pain refers to pain from internal organs; and pancreatic pain is specific to pain originating from the pancreas.

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User Mustafa Deniz
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