Sheppelman's sign

Schepelmann's sign is a method of identifying pleurisy and intercostal neuralgia. The paralyzed patient stands upright and tries to flex his torso to the left and right sides and observe the pain response. In pleurisy, the patient aggravates the pain when the trunk flexes to the contralateral side, and the pain disappears when flexing to the affected side; the opposite is true for intercostal neuralgia. The former is caused by the traction of the parietal pleura, and the latter is the result of the compression of the intercostal nerve. Basic Information Specialist Category: Neurological Classification: Other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Taboo before check: poor rest, improper diet, excessive fatigue. Normal value There was no chest pain during the examination, the chest was normal, and the breathing was even. Clinical significance Abnormal results The patient is erect, and the torso is flexed to the left and right sides. The pain is aggravated and there is pleural inflammation. The opposite is true for intercostal neuralgia. The former is caused by the traction of the parietal pleura, and the latter is the result of the compression of the intercostal nerve. The population to be examined has a population of pleurisy and intercostal neuralgia. Precautions Taboo before the examination: poor rest, improper diet, excessive fatigue. Requirements for inspection: Actively cooperate with the doctor's work. Inspection process The patient takes the standing position and tries to flex the torso to one side. At this time, the patient complains of pain, and then tries to flex to the other side, the pain disappears; or the opposite result is the Schermann sign. Not suitable for the crowd Inappropriate crowd: None.