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Multiple Choice

What referred pain is the black arrow pointing to?

Referred pain patterns reflect how visceral afferents converge with somatic nerves in the spinal cord. Midgut organs, including the cecum and ascending colon, send pain signals that are felt in the right lower quadrant because their afferents enter around the T10–L1 levels. When the arrow points to the RLQ, it aligns with the typical referral area for cecum and ascending colon, not the regions associated with the liver (right shoulder), stomach (epigastric), or kidney/ureter (flank to groin). This explains why the RLQ region is the correct match for referred pain from these midgut structures.

Referred pain patterns reflect how visceral afferents converge with somatic nerves in the spinal cord. Midgut organs, including the cecum and ascending colon, send pain signals that are felt in the right lower quadrant because their afferents enter around the T10–L1 levels. When the arrow points to the RLQ, it aligns with the typical referral area for cecum and ascending colon, not the regions associated with the liver (right shoulder), stomach (epigastric), or kidney/ureter (flank to groin). This explains why the RLQ region is the correct match for referred pain from these midgut structures.