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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.
It is similar to rebound tenderness, but may be easier to elicit when the patient has firm abdominal wall muscles. Abdominal pain on walking or running is an equivalent sign. [2] It was first described by the George Bushar Markle IV (1921–1999), an American surgeon, in 1985. [3]
CVA tenderness is also present in patients who have retrocecal appendicitis and retroperitoneal abscesses. [4] In patients with sickle cell disease, blockage of blood flow to the kidney may cause CVA tenderness. [4] A lack of CVA tenderness in patients with low back pain supports a diagnosis other than kidney pathology. [7]
In medicine, tenderness is pain or discomfort when an affected area is touched. [1] It should not be confused with the pain that a patient perceives without touching. Pain is patient's perception, while tenderness is a sign that a clinician elicits.
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The main manifestations of peritonitis are acute abdominal pain, abdominal tenderness, abdominal guarding, rigidity, which are exacerbated by moving the peritoneum, e.g., coughing (forced cough may be used as a test), flexing one's hips, or eliciting the Blumberg's sign (meaning that pressing a hand on the abdomen elicits less pain than ...
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