tenderness and rebound tenderness

Tenderness and rebound tenderness, tenderness is a painful response that occurs when palpation is used to examine a patient's affected area. The rebound pain is a sign that the peritoneal wall layer has been affected by inflammation. When the hand is suddenly raised, the peritoneum is pulled to cause pain. It is more common in primary peritonitis when the intra-abdominal organ lesions involve the adjacent peritoneum. When the intra-abdominal inflammation has not affected the parietal peritoneum, there may be only tenderness and no rebound pain. This test method is used to assist in the diagnosis and judgment of the corresponding symptoms. Basic Information Specialist classification: neurological examination classification: neuroelectrophysiology Applicable gender: whether men and women apply fasting: not fasting Tips: Inappropriate people: those who want to give birth; those who are mentally and mentally abnormal. Normal value Normal abdominal pressure does not cause pain, there is only a sense of oppression when there is heavy pressure, no rebound pain. Clinical significance Abnormal results Peritonitis, inflammation, blood stasis, tumor, rupture, torsion, and abdominal wall lesions can cause tenderness. 1) appendicitis: early tenderness is often in the upper abdomen, and then transferred to the right lower abdomen, which is the McBurney point tenderness at the junction of the middle and outer 1/3 of the anterior superior iliac spine. This is a sign of appendicectomy. 2) Gallbladder lesions: The tender point is located at the junction of the midline of the right clavicle and the costal margin, called the gallbladder point tenderness, which is a marker of gallbladder lesions. The rebounder's hand slowly oppresses the abdominal pain area, and the finger stops at the place for a while, so that the tenderness feeling tends to stabilize, and the hand is quickly lifted up. At this time, the patient feels that the place is severely "painful" and has Painful expression or embarrassment, known as rebound pain. When the intra-abdominal inflammation has not affected the parietal peritoneum, there may be only tenderness and no rebound pain. People who need to be examined have uncomfortable abdominal abdomen and people who perform routine physical examinations. Precautions Requirements for inspection:: 1 In order to avoid the abdominal muscle tension of the examinee, the examiner may first place the palm on the abdominal wall, so that the examinee can adapt to a moment and then palpate the examination; 2 When checking, you can talk to the examinee at the same time, diverting your attention and reducing abdominal muscle tension; 3 Various palpation techniques should be combined with different inspection sites for flexible application. Inspection process The doctor first estimates the area where the tenderness may occur according to the patient's symptoms, and then gradually presses the part from the far side, and the pressure is from shallow to deep. If there is tenderness, the most painful points and the distribution of tenderness should be determined. After checking the tenderness, the finger presses in the original place for a while, so that the tenderness is slightly stabilized, and then the hand is lifted quickly. If the examinee feels that the abdominal pain suddenly increases, accompanied by a painful expression or embarrassment, it is called rebound. pain. The appearance of rebound tenderness is a sign of inflammation of the peritoneal wall layer, which is seen in the intra-abdominal organ lesions involving adjacent peritoneum and peritonitis. Abdominal wall tension, accompanied by tenderness and rebound tenderness, is an important sign of acute peritonitis, known as peritoneal irritation (or triad of peritonitis). Not suitable for the crowd Inappropriate people: those who want to give birth; those who are mentally and mentally abnormal.