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Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
In medicine, Carnett's sign is a finding on clinical examination in which abdominal pain remains unchanged or increases when the muscles of the abdominal wall are tensed. [1] [2] For this part of the abdominal examination, the patient can be asked to lift the head and shoulders from the examination table to tense the abdominal muscles.
One method is to have the patient lie in the supine position and lift their leg straight up while the physician places pressure on the patient's thigh. The second method is carried out by having the patient lie on his/her left side with the knees extended. The examiner holds the patient's right thigh and passively extends the hip. Alternatively ...
The symptoms are pain in the hip region on walking, and tenderness over the upper part of the femur, which may result in the inability to lie in comfort on the affected side. [citation needed] More often the lateral hip pain is caused by disease of the gluteal tendons that secondarily inflames the bursa. This is most common in middle-aged women ...
Sudden onset pain happens in a split second. Rapidly onset pain starts mild and gets worse over the next few minutes. Pain that gradually intensifies only after several hours or even days has passed is referred to as gradual onset pain. [4] One can describe abdominal pain as either continuous or sporadic and as cramping, dull, or aching. The ...
Injuries occurring on the right are associated with a higher rate of death and more numerous and serious accompanying injuries. [10] Bilateral diaphragmatic rupture, which occurs in 1–2% of ruptures, is associated with a much higher death rate than injuries that occur on just one side. [5]
Traditionally, the use of opiates or other pain medications in patients with an acute abdomen has been discouraged before the clinical examination because of the concern that pain medications may mask the signs and symptoms of the condition and therefore may lead to a delay in diagnosis. However, the scientific literature has shown that early ...
The pain is exacerbated by movement and makes walking and breathing more difficult. Patients have found relief from the pain by lying still for a brief period of time. [ 5 ] The slightest movement of the rib cage causes a sharp increase in pain, which makes it difficult to breathe, although it generally passes off before any actual harm occurs.