PAEA Surgery End Of Rotation (EOR) Practice Exam

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What radiating pain might a patient with pancreatitis experience?

Chest to arm
LUQ to RUQ or back
Pelvic pain to back pain
Lower back to abdominal pain

The correct answer is: LUQ to RUQ or back

In the context of pancreatitis, the radiating pain commonly experienced by patients typically originates in the left upper quadrant (LUQ) and can extend to the right upper quadrant (RUQ) or the back. This pattern of pain can be attributed to the anatomical location of the pancreas and the surrounding structures. When inflammation occurs in the pancreas, it can stimulate nearby nerves, leading to a sensation of pain that radiates to areas such as the back. This is particularly relevant because the pancreas has a close relationship with the diaphragm and the spine, which can further perpetuate the feeling of discomfort in these regions. Patients often describe this pain as a deep, persistent ache that may increase in intensity, especially during meals when digestive processes are activated. Understanding this characteristic radiating pain is critical for recognizing and diagnosing acute or chronic pancreatitis.