Английская Википедия:Blumberg's sign

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Шаблон:Short description Шаблон:Use dmy dates Шаблон:Infobox diagnostic 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 was named after German surgeon Jacob Moritz Blumberg.[1][2]

Procedure

The abdominal wall is compressed slowly and then rapidly released. A positive sign is indicated by presence of pain upon removal of pressure on the abdominal wall.

Clinical significance

The sign indicates aggravation of the parietal peritoneum by stretching or moving. Positive Blumberg's sign is indicative of peritonitis,[3] which can occur in diseases like appendicitis, and may occur in ulcerative colitis with rebound tenderness in the right lower quadrant.

However, in recent yearsШаблон:When the value of rebound tenderness has been questioned, since it may not add any diagnostic value beyond the observation that the patient has severe tenderness.[4] Use of the sign has been supported by others.[5][6]

See also

References

Шаблон:Reflist

Шаблон:Digestive system and abdomen symptoms and signs

  1. Шаблон:WhoNamedIt
  2. J. M. Blumberg. Ein neues diagnostisches Symptom bei Appendicitis. Münchener medizinische Wochenschrift, 1907, 54: 1177-1178.
  3. Шаблон:Cite book
  4. Liddington MI, Thomson WHF. Rebound tenderness test. British Journal of Surgery, 1991, 78: 795–796
  5. Шаблон:Cite journal
  6. Шаблон:Cite journal