{"id":7298,"date":"2025-12-27T16:14:22","date_gmt":"2025-12-27T15:14:22","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7298"},"modified":"2025-12-27T16:19:31","modified_gmt":"2025-12-27T15:19:31","slug":"douleur-viscerale-referee-a-lepaule-droite","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7298","title":{"rendered":"Douleur visc\u00e9rale r\u00e9f\u00e9r\u00e9e \u00e0 l&rsquo;\u00e9paule droite"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Douleur r\u00e9f\u00e9r\u00e9e<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>La douleur est per\u00e7ue dans une autre r\u00e9gion que la localisation du stimulus douloureux. La douleur ne r\u00e9pond pas \u00e0 une m\u00e9canique musculosquelettique.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/11\/image.avif\" alt=\"\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Cas<\/h2>\n\n\n\n<p>Femme 40 ans, ob\u00e8se, mauvaise alimentation et mauvais sommeil, douleur \u00e9paule droite diffuse niveau trapeze sup\u00e9rieur, amplitude compl\u00e8te, pas de sch\u00e9ma clair de facteurs aggravant. Elle a eu plusieurs pb \u00e0 l\u2019\u00e9paule D. V\u00e9sicule biliaire probable. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"An unusual cause of shoulder pain - what&#039;s the diagnosis? with Jo Gibson\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/9fFp43wz05U?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Inflammation de la v\u00e9sicule biliaire<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Physiopatologie<\/h3>\n\n\n\n<p>L&rsquo;inflammation de la v\u00e9sicule biliaire est appel\u00e9e chol\u00e9cystite. Elle est g\u00e9n\u00e9ralement due \u00e0 des calculs biliaires. Un traitement conservateur peut \u00eatre initi\u00e9 en cas d&rsquo;inflammation l\u00e9g\u00e8re. En cas d&rsquo;inflammation s\u00e9v\u00e8re ou chronique, l&rsquo;ablation chirurgicale de la v\u00e9sicule biliaire est g\u00e9n\u00e9ralement n\u00e9cessaire.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Symt\u00f4mes<\/h3>\n\n\n\n<p>L\u2019inflammation de la v\u00e9sicule biliaire peut \u00e9voluer de mani\u00e8re aigu\u00eb ou chronique. Une inflammation de la v\u00e9sicule biliaire aigu\u00eb commence g\u00e9n\u00e9ralement par des douleurs violentes dans l\u2019abdomen de type coliques survenant par crise.&nbsp;Les douleurs peuvent irradier jusque dans les omoplates ou l\u2019\u00e9paule droite.<\/p>\n\n\n\n<p>Elles s&rsquo;accompagnent souvent de naus\u00e9es, d&rsquo;envie de vomir et d&rsquo;acc\u00e8s de sueur.\u00a0 La pr\u00e9sence de fi\u00e8vre et de frissons sont le signe d&rsquo;une inflammation de la v\u00e9sicule biliaire bact\u00e9rienne. Dans les cas les plus graves, l&rsquo;obstruction de la v\u00e9sicule emp\u00eache l&rsquo;\u00e9coulement de la bile et peut entra\u00eener une jaunisse.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Les 4 F de la v\u00e9sicule biliaire<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>fair(peau claire)<\/li>\n\n\n\n<li>fat<\/li>\n\n\n\n<li>forty<\/li>\n\n\n\n<li>femelle<\/li>\n<\/ul>\n\n\n\n<p>Les selles&nbsp;: flottent car trop de graisse, douleurs plus fortes apr\u00e8s avoir manger&nbsp;: penche vers la v\u00e9sicule biliaire donc non msq<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Autres causes de douleurs r\u00e9f\u00e9r\u00e9e<\/h2>\n\n\n\n<p>La cirrhose de foie peut \u00e9galement \u00eatre source de douleur r\u00e9f\u00e9r\u00e9e \u00e0 l\u2019\u00e9paule\u00a0: irritation du nerf phr\u00e9nique<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Douleur r\u00e9f\u00e9r\u00e9e La douleur est per\u00e7ue dans une autre r\u00e9gion que la localisation du stimulus douloureux. La douleur ne r\u00e9pond pas \u00e0 une m\u00e9canique musculosquelettique. Cas Femme 40 ans, ob\u00e8se, mauvaise alimentation et mauvais sommeil,&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=7298\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Douleur visc\u00e9rale r\u00e9f\u00e9r\u00e9e \u00e0 l&rsquo;\u00e9paule droite\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[359],"tags":[],"class_list":["post-7298","post","type-post","status-publish","format-standard","hentry","category-pathologie-epaule"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7298","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7298"}],"version-history":[{"count":4,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7298\/revisions"}],"predecessor-version":[{"id":7302,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7298\/revisions\/7302"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7298"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7298"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7298"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}