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107. A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-day history of fever, headache, nasal congestion, and productive cough Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination shows decreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in which of the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs? OA) Cardiac plexus B) Intercostal nerves OC) Long thoracic nerve D) Thoracic splanchnic nerves E) Vagus nerve

107. A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-day history of fever, headache, nasal congestion, and productive cough Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination shows decreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in which of the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs? OA) Cardiac plexus B) Intercostal nerves OC) Long thoracic nerve D) Thoracic splanchnic nerves E) Vagus nerve

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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107 A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-day history of fever, headache, nasal congestion, and productive cough. Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination shows decreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in which of the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs? A) Cardiac plexus B) Intercostal nerves C) Long thoracic nerve D) Thoracic splanchnic nerves E) Vagus nerve
Transcribed Image Text:107 A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-day history of fever, headache, nasal congestion, and productive cough. Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination shows decreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in which of the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs? A) Cardiac plexus B) Intercostal nerves C) Long thoracic nerve D) Thoracic splanchnic nerves E) Vagus nerve
Expert Solution
Step 1

Chest pain that is sudden or stabbing, especially while inhaling deeply or coughing, is a common symptom of lung diseases like pneumonia.

If the tissue lining the chest and lungs becomes inflamed from a cough, it is known as pleurisy and can result in chest pain.

Pleural effusion and pneumonia are two common causes of pleurisy.

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