liver tenderness

The liver tenderness test is an auxiliary examination method for checking whether the abdominal liver and liver beats are normal. Normal liver has no tenderness. If the liver capsule has an inflammatory reaction or is pulled due to hepatomegaly, the liver has tenderness. Mild diffuse tenderness is seen in hepatitis and hepatic congestion. Limited severe tenderness is seen in superficial liver abscess. (often in the right rib gap). There is no pain in normal abdominal palpation, and there is a sense of oppression when pressed. When palpation, pressing from shallow to deep, painful, called tenderness. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Pay attention to diet and rest, and listen to the doctor's arrangements during the examination. Normal value There is no pain when palpation in the abdomen, and there is a sense of oppression when pressed. Clinical significance Abnormal result Most of the tenderness comes from the abdominal wall or the intra-abdominal lesions. If the abdominal wall is grasped or the shoulder is flexed and the shoulder is lifted, the tenderness is obvious. It can be regarded as abdominal wall lesion, otherwise it is mostly intra-abdominal lesion. Abdominal tenderness is often caused by inflammation, tuberculosis, stones, tumors and other diseases. People who need to be examined: routine physical examination items, abnormal abdominals. Precautions Requirements for inspection: 1 When palpation, the palm should be close to the abdominal wall, up and down with the breathing movement. When inhaling, the speed of lifting the finger should lag behind the lifting of the abdominal wall; when exhaling, the finger should be pressed before the abdominal wall sinks. 2 Check the developed abdominal muscles, the right hand should be placed on the outer edge of the rectus abdominis to palpate upwards, avoiding the rectus abdominis as the lower edge of the liver. 3 In case of full right abdomen, the factors of liver should be considered. When palpation, the right hand should be placed in the midline of the right clavicle at the level of the vertical line of the abdomen or from the position of the right anterior superior iliac spine. Inspection process At the time of palpation, the examinee is in the supine position, the knee joints are flexed, the abdominal wall is relaxed, and deeper abdominal breathing is performed to move the liver up and down. The examiner is placed on the right side of the patient with one or both hands. One-handed palpation is more common. The examiner puts the right hand four fingers together, the metacarpophalangeal joint is straight, and is placed in parallel with the costal margin in the right abdomen to estimate the lower edge of the liver or below the percussive liver dullness. When the gas is blowing, the finger is pressed to the deep part of the abdominal wall. When inhaling, the finger is slowly raised, and the edge of the liver is moved upward toward the rib edge. Repeatedly, the finger gradually moves toward the costal margin until it touches the liver margin or the costal margin. It is necessary to palpate the liver margin on the right midline and the front midline, respectively, and measure it with the costal margin or sword when breathing calmly. The distance from the root of the root, expressed in centimeters. Not suitable for the crowd Inappropriate people: Basically no suitable for the crowd, but people with mental disorders should pay attention. Adverse reactions and risks Nothing.