tossing
Introduction
Introduction The position is the state of the body in the lying position. Observing changes in position can provide some clues for the diagnosis of certain diseases. The position of the squat is expressed as the patient tossing and turning in the bed and constantly changing the position.
Cause
Cause
More common in pain due to gallstones, colic and biliary mites.
Examine
Check
Related check
Abdominal plain film Abdominal CT Abdominal shape palpation
The position that the patient was forced to take to relieve the pain, as The patient tossed and turned in the bed and constantly changed his position.
Diagnosis
Differential diagnosis
Differential diagnosis of sputum position:
1.Automatic position
means free movement of body Any restrictions are found in normal people or in certain early stages of illness or illness.
2. Passive position
means that the position of the limb cannot be adjusted or changed by its own strength, in a fixed and uncomfortable state. Common in patients with extreme weakness or loss of consciousness.
3. Forced position
refers to a certain position that the patient is forced to take in order to alleviate the pain. There are mainly the following eight types.
(1) Forced sitting position
Also called sitting breathing, this position is easy to breathe, and because the lower limb position is lower than the heart, the blood return to the heart is reduced, reducing the burden on the heart, Found in patients with severe heart failure and patients with pulmonary insufficiency.
(2) Forced prone position
This position can reduce the tension of the lower back muscles, which is common in patients with spondylitis and spinal trauma.
(3) Forced lateral position
A patient who has pleural effusion on one side and a large amount of pleural effusion on one side, because it can relieve pain and make the respiratory muscles of the healthy side And the lungs compensate for breathing to reduce breathing difficulties.
(4) Forced supine position
The patient is lying on his back and his legs are twisted. This can reduce abdominal muscle tension and relieve pain. It is seen in some pain caused by abdominal diseases such as peritonitis.
(5) Forced stop position
After standing on the walk, suddenly stand up and hand in the front area, and then continue on. Most of them are caused by angina pectoris, and then even faint or sudden death. If you have a similar episode, you need to go to the hospital immediately and carry the necessary medicines for emergency use.
(6) Forced sputum
Patients in the activity, due to heart palpitations or difficulty breathing, and take the position of the knee or chest to relieve symptoms, common in the hairy congenital heart disease.
(7) angulation of the horn arch
This is due to the rigidity of the neck and back muscles, so that the head is tilted back, the chest and abdomen are convex forward, the back is overextended, and the trunk is Strike the same shape as a bow. Most commonly seen in tetanus and pediatric meningitis.
