You are a physical therapist, and your patient is a 52-year-old female with a history of cholelithiasis (gallstones). She reports a sharp pain beneath the right shoulder blade and asks you to check it out. Both passive and active range of motion tests do not reproduce the pain. You conclude that it is referred pain. Your patient is incredulous that her gallbladder is hurting her shoulder blade. How do you describe this mechanism to her?

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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1. You are a physical therapist, and your patient is a 52-year-old female with a history of cholelithiasis (gallstones). She reports a sharp pain beneath the right shoulder blade and asks you to check it out. Both passive and active range of motion tests do not reproduce the pain. You conclude that it is referred pain. Your patient is incredulous that her gallbladder is hurting her shoulder blade. How do you describe this mechanism to her?

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