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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 ...
The characteristic of cramping abdominal pain is that it comes in brief waves, builds to a peak, and then abruptly stops for a period during which there is no more pain. The pain flares up and off periodically. The most common cause of persistent dull or aching abdominal pain is edema or distention of the wall of a hollow viscus.
Dull (consolidation), similar to percussion of a mass such as a liver. Stony dull, the sounds produced on percussion from the pleximeter with no contribution from the underlying area. Percussion may induce pain, this is often also noted as it can indicate underlying pathology.
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.
There is usually also tenderness on palpation of the right upper abdomen and tenderness to percussion of the lower ribs which protect the liver. Patients may also report fevers, malaise, back pain, pelvic pain, dyspareunia, vaginal discharge, and dysuria. [13] [14] Patients are most often women of childbearing age.
Percussion of the green section shifts from a dull note to a tympanic note after the patient changes from supine to lateral decubitus position. The test is performed by first percussing the midline of the abdomen to elicit a resonant note due to gas in the abdomen. If there is no area of resonance, then the test cannot be performed.
Ovarian cyst pain may fluctuate and be sharp at times, but for many, it stays constant and feels like a dull discomfort or pressure. With the pain, you may experience nausea, abdominal bloating ...
Quadrants of the abdomen Diagram showing which organs (or parts of organs) are in each quadrant of the abdomen. The left lower quadrant (LLQ) of the human abdomen is the area left of the midline and below the umbilicus. The LLQ includes the left iliac fossa and half of the left flank region. The equivalent term for animals is left posterior ...
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