Harvey J

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Harvey J
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The Hypothalamic Pituitary Adrenal (HPA) axis is our central stress response system. It is a complicated set of relationships and signals that exist between the hypothalamus (a part of the brain), the pituitary gland (also part of the brain) and the adrenals (at the top of the kidney).

The Hypothalamic Pituitary Adrenal (HPA) axis is our central stress response system. It is a complicated set of relationships and signals that exist between the hypothalamus (a part of the brain), the pituitary gland (also part of the brain) and the adren

ozzies-world:  A map of referred pain, something nice to keep in mind when taking patient assessments.

Map of Referred Pain with Explanation -- the most common theory is that strong pain messages running along nerves either “leap” or “overwhelm” adjacent nerves, causing pain to be felt where that series of nerves originates.

24yo F recent lap cholecystectomy w acute upper R abdo pain radiating R shoulder tip, ↑HR, ↑temp,↑CRP

F recent lap cholecystectomy w acute upper R abdo pain radiating R shoulder tip, ↑HR, ↑temp,↑CRP

85yo F w rigid/distended/severely painful abdomen, absent bowel sounds, AF, hypotension. Diagnosis?

F w rigid/distended/severely painful abdomen, absent bowel sounds, AF, hypotension.

52yo F w existing chronic back pain has 2 day hx of acute lower back pain radiating to L leg w L leg weakness. Diagnosis?

F w existing chronic back pain has 2 day hx of acute lower back pain radiating to L leg w L leg weakness.