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People who are capable of "handsfree purging", or the induction of vomiting by the willful opening of the esophageal sphincter in a manner similar to belching, while contracting the stomach muscles, do not have Russell's sign. People who use a fork, spoon, or foreign object to stimulate the gag reflex may not display Russell's sign.
Swallowing unusually large objects or placing objects in the back of the mouth may cause the pharyngeal reflex. Some people, for instance sword swallowers , have learned how to suppress it. [ 1 ] In contrast, triggering the reflex is sometimes done intentionally to induce vomiting, by those who have bulimia nervosa .
Murphy's sign has a high sensitivity and negative predictive value, although the specificity is not high. [2] However, in the elderly the sensitivity is markedly lower; a negative Murphy's sign in an elderly person is not useful for ruling out cholecystitis if other tests and the clinical history suggest the diagnosis.
Appendicitis is the most common cause of abdominal pain that results in surgery in the United States, with about 5-9% of Americans having the condition at some point in their life, according to ...
Blumberg's sign (also referred to as rebound tenderness or Shchetkin–Blumberg's sign) is a clinical sign in which there is pain upon removal of pressure rather than application of pressure to the abdomen. (The latter is referred to simply as abdominal tenderness.) It is indicative of peritonitis.
A drunk man vomiting, while a young slave is holding his forehead. Brygos Painter, 500–470 BC. It is quite common that, when one person vomits, others nearby become nauseated, particularly when smelling the vomit of others, and often to the point of vomiting themselves. It is believed that this is an evolved trait among primates. Many ...
Signs and symptoms are also applied to physiological states outside the context of disease, as for example when referring to the signs and symptoms of pregnancy, or the symptoms of dehydration. Sometimes a disease may be present without showing any signs or symptoms when it is known as being asymptomatic . [ 13 ]
Pressure points [a] derive from the supposed meridian points in Traditional Chinese Medicine, Indian Ayurveda and Siddha medicine, and martial arts. They refer to areas on the human body that may produce significant pain or other effects when manipulated in a specific manner.