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Topic: Rebound tenderness

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	Rebound tenderness - Wikipedia, the free encyclopedia
		Rebound tenderness is a clinical sign resulting from physical examination of the abdomen.
		Abdominal pain is aggravated by stretching or moving of the parietal layer of the peritoneal membrane.
		Rebound tenderness can be present in many conditions, such as appendicitis.
	en.wikipedia.org /wiki/Rebound_tenderness (98 words)

	Abdominal pain (Site not responding. Last check: 2007-11-05)
		Rebound tenderness develops at this area, probably even before the patient realizes that he/she is hurting in the RLQ (Right lower quadrant).
		Rebound means that it briefly hurts more when pressure is suddenly released on that area.
		True rebound tenderness anywhere in the abdomen is a sign of peritonitis and is always significant.
	www.riparia.org /abdominal_pain.htm (751 words)

	Virtual Hospital: Bedside Logic in Diagnostic Gastroenterology (Site not responding. Last check: 2007-11-05)
		The presence of tenderness in response to gentle percussion has the same significance as the presence of rebound tenderness (peritoneal irritation), and it is a far kinder technique.
		Rebound tenderness is evident as a surge of pain that takes up to one second to occur after the quick release.
		Rebound tenderness may be sharply localized in peritoneal irritation, but is more commonly widespread, since peritonitis generally spreads quickly throughout the peritoneum, there being no major barriers to the spread of the substances that cause it.
	www.vh.org /adult/provider/internalmedicine/BedsideLogic/ch10.html (14842 words)

	Appendicitis Guide (Site not responding. Last check: 2007-11-05)
		Tenderness in the right lower quadrant is the single most important finding in acute appendicitis.14 This area, which generally corresponds to the location of the appendix, is most commonly located just below the midpoint of a line extending from the anterior superior iliac spine to the umbilicus.
		Tenderness on examination may be detectable only on palpation of the flank.
		Tenderness may extend throughout the right lower quadrant, and percussion rebound tenderness and involuntary muscle rigidity are more pronounced.
	www.familypractice.com /references/ABFPGuides/Appendicitis/appendicitis.htm (5539 words)

	THE MERCK MANUAL, Sec. 3, Ch. 25, Acute Abdomen And Surgical Gastroenterology
		Direct tenderness and rebound tenderness in the right lower quadrant, localized pain on cough, low-grade fever (rectal temperature 37.7 to 38.3° C [100 to 101° F]), and leukocytosis (12,000 to 15,000/µL) characterize appendicitis.
		Classic right lower quadrant tenderness is located at McBurney's point (junction of the middle and outer thirds of the line joining the umbilicus to the anterior superior spine).
		Tenderness may be diffuse or noted only on rectal or pelvic examination; in rare instances, tenderness is absent and abdominal pain, persistent fever, and leukocytosis are the only signs.
	www.merck.com /pubs/mmanual/section3/chapter25/25e.htm (847 words)

	Value of rebound tenderness in acute appendicitis (Site not responding. Last check: 2007-11-05)
		The value of rebound tenderness as a clinical diagnostic tool was statistically compared to those of some other physical signs; namely guarding, rigidity and Rovsing's sign.
		Rebound tenderness was found to carry the highest sensitivity (94.7%), negative predictive value (81.3%), reliability (49.1%), and association with histological diagnosis (P < 0.05).
		It is concluded that, in contradistinction to some previously published reports, our study emphasizes the role of rebound tenderness in the clinical diagnosis of acute appendicitis.
	medicalcollege.kku.edu.sa /research/0219.htm (136 words)

	Point tenderness
		The term point tenderness usually refers to pain felt when pressure is applied over a specific point on the abdomen.
		This is called "guarding." Point tenderness is a more general term which defines tenderness in a particular location.
		Is there rebound tenderness (the tenderness is worse when the area is gently pressed and then the pressure is suddenly released).
	www.delraymedicalctr.com /CWS/ADAM/Encyclopedia/English/ency/article/003273.htm (381 words)

	Examination of the Abdomen
		CVA tenderness is often associated with renal disease.
		Tenderness felt in the RLQ when palpation is performed on the left is called Rovsing's Sign and suggests appendicitis.
		Rebound tenderness referred from the left to the RLQ also suggests this disorder.
	medinfo.ufl.edu /year1/bcs/clist/abdomen.html (750 words)

	Point tenderness - UMMC
		Point tenderness is a symptom in which pain is noted when pressure is applied over a specific point on the abdomen.
		Abdominal tenderness spans a spectrum from mild tenderness to severe pain associated with peritonitis.
		Point tenderness is a more general term which defines tenderness in a particular location.
	www.umm.edu /ency/article/point_tenderness_overview_003273.htm (286 words)

	HAT 257: Chapter 9
		Palpation determines: general and specific areas of tenderness; location of deformities; location and extent of swelling; air crepitus (produced by air caught in subcutaneous tissue); bony crepitus (produced by the rough edges of fractured bones rubbing together); asymmetry; muscle rigidity; and abdominal rebound tenderness.
		Rebound tenderness is identified by the examiner pressing deeply into the abdominal cavity and then quickly releasing, allowing the abdominal wall to rebound back to its original position.
		Rebound Tenderness: pain in the abdomen upon the release of pressure from the abdomen.
	bama.disted.ua.edu /hat257/chapter9final.htm (3989 words)

	Acute Pancreatitis (Site not responding. Last check: 2007-11-05)
		Tenderness may be accompanied by guarding and rebound.
		Maximal tenderness is usually in the midepigastric region.
		Feedings should be restarted when abdominal tenderness has disappeared, any ileus has resolved, and urinary diastase or amylase clearance has become normal.
	home.coqui.net /myrna/pancr.htm (1033 words)

	Sexually Transmitted Diseases
		The provider should see if there is increased tenderness when pressing and quickly releasing muscles in the abdominal area, called “rebound tenderness.” This rebound tenderness may be a sharp pain, more distinctive than the general pain of the presenting symptom.
		Rebound tenderness may indicate a serious, life-threatening complication, such as ectopic pregnancy; complications from delivery, miscarriage or abortion; appendicitis; or some other acute condition.
		If the woman has rebound tenderness, the provider should refer her immediately for evaluation to a facility with surgical capabilities and trained specialists.
	www.fhi.org /training/en/modules/STD/s3pg24.htm (232 words)

	Acid Reflux Rebound (Site not responding. Last check: 2007-11-05)
		rebound headaches from imitrex, sumatriptan nsaids, tramadol hydrochloride -...
		The continuous use of antacids may result in acid rebound, diarrhea, and constipation, and exacerbate...
		Our mineral forms are not active until excess acid acts upon them, and therefore do not cause acid reflux or acid rebound like the highly soluble forms commonly sold on the equine market.
	www.acidrefluxtips.com /acidreflux3/AcidRefluxRebound (880 words)

	[No title]
		While the patient will complain of abdominal pain, the presence of any degree of marked abdominal tenderness is usually an ominous sign as this suggest strangulation of the bowel, a condition in which the blood supply to the bowel is impaired and the bowel is beginning to become necrotic.
		It is very important to remember that in patients whose abdomen is extremely tender and who are haemodynamically unstable and very unwell, that is likely that these patients are on the verge of or have already experienced strangulation of the bowel.
		Pain, swelling and tenderness tend to be much worse on eating and the stones are calcium carbonate or calcium phosphate in constitution.
	www.emed-induction.ie /qanda.doc (12809 words)

	The diagnostic value of symptoms and signs in childhood abdominal pain
		Tenderness was confined to the right iliac fossa in 37% of children with NSAP but in 70% of children with AA Guarding and rebound tenderness were less prevalent in children with NSAP.
		Palpable tenderness in the right iliac fossa was equally prevalent in both groups (74 vs. 75%) as was percussion tenderness (26 vs. 45%, P < 0.01).
		Surprisingly, the prevalence of anorexia, tachycardia and rebound tenderness were not significantly different between those children with a normal appendix removed and those who had histologically proven appendicitis (Table 2).
	www.rcsed.ac.uk /journal/vol43_6/4360007.htm (1653 words)

	Rebound - Definition of Rebound by Webster's Online Dictionary
		To spring back; to start back; to be sent back or reverberated by elastic force on collision with another body; as, a rebounding echo.
		Bodies which are absolutely hard, or so soft as to be void of elasticity, will not rebound from one another.
		rebound - a reaction to a crisis or setback or frustration; "he is still on the rebound from his wife's death"
	www.webster-dictionary.org /definition/rebound (211 words)

	Virtual Naval Hospital: General Medical Officer Manual: Clinical Section (Site not responding. Last check: 2007-11-05)
		Abdominal exam reveals a tender mass and voluntary guarding in the lower abdomen.
		Rebound tenderness or referred rebound tenderness may be present.
		On examination, the patient will have a diffusely tender abdomen with involuntary guarding, rebound and percussion tenderness, and absent or rare bowel sounds.
	www.vnh.org /GMO/ClinicalSection/23AcuteDiverticulardisease.html (1536 words)

	SSVMS: Sierra Sacramento Valley Medicine - Vol. 54 / No. 5 - Sep / Oct 2003
		In his article he states, "Long since discarded has been the sign of 'rebound tenderness.' It is gross, it is cruelly painful, and it is not sufficiently accurate to be helpful when most needed in locating the primary seat of inflammation."
		Unfortunately, he was mistaken in thinking that rebound tenderness has been "long discarded." In my experience it was in wide use among the doctors I encountered throughout my medical career, and I continue to hear it being referred to as a useful diagnostic tool.
		And yet, there is certainly little gentleness present when examining for "rebound tenderness." It always bothered me to see patients wince, double up, or hear them cry out with a "positive" response to this test.
	www.ssvms.org /articles/0311pain.asp (675 words)

	Small Group Discussion Information
		The abdomen was tense and tenderness was present in the right lower and upper quadrants.
		Generalized lower abdominal tenderness was present and bowel sounds were hyperactive.
		Rectal examination showed mild tenderness; stool was watery and mucoid in appearance.
	www.uic.edu /depts/mcpt/curriculum/sgd/sgd11.html (1231 words)

	Case Based Pediatrics Chapter
		Charles McBurney immortalized "McBurney's point" when he described it in 1889 as the point of greatest tenderness located 1.5 to 2 inches (4 to 5 cm) from the anterior spine of the ileum on a line drawn between that point and the umbilicus.
		Finally the physical examination portion of observation should conclude with an evaluation of groin tenderness to rule out a hernia or iliac adenitis as the cause for abdominal pain.
		Inconsistent tenderness casts doubt on the diagnosis of appendicitis.
	www.hawaii.edu /medicine/pediatrics/pedtext/s10c03.html (1468 words)

	allnurses.com Nursing for Nurses - Question about Rebound Tenderness
		If the patient experiences more pain when you release your hand, that is positive for rebound tenderness and means that there is peritonitis/inflammation of the bowel, possibly appendicitis.
		My understanding was that to perform rebound tenderness you should move to the opposite side of where the patient is experiencing pain and then press and release.
		We just touched on this (no pun intended :rolleyes:) briefly in assessment in Nursing Concepts I, but what we were taught is that the definition of rebound tenderness is discomfort on the opposite side, when you palpate and then let it go quickly.
	allnurses.com /forums/archive/index.php/t-61424 (428 words)

	Appendicitis (Site not responding. Last check: 2007-11-05)
		This point is located on the right-hand side one-third of the distance between the anterior superior iliac spine and the navel, or approximately one hand's width.
		Other methods include a digital rectal exam, where a finger is inserted into the rectum - if there is right sided tenderness (where the appendix normally lies), it makes it more likely that the patient has appendicitis.
		Other signs used in the diagnosis of appendicitis are the psoas sign (common in retrocecal appendicitis), the obturator (internus) sign, and Rovsing's sign.
	www.wikiverse.org /appendicitis (481 words)

	Dorlands Medical Dictionary
		pencil tenderness, local tenderness on pressure with the rubber tip of a pencil, signifying the location of underlying pathology.
		rebound tenderness, a sensation of pain felt on the release of pressure.
		calcific tendinitis, inflammation and calcification of the subacromial or subdeltoid bursa, resulting in pain, tenderness, and limitation of motion in the shoulder.
	www.mercksource.com /pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszSzcommonzSzdorlandszSzdorlandzSzdmd_t_04zPzhtm (3413 words)

	Toothache With Neck Tenderness
		However, diffuse tenderness was noted with palpation of the paravertebral musculature in the lower...
		The symptoms are tenderness about the jaw, ear and face, clicking in the TMJ area, pain in the...
		Breast tenderness refers to any pain or discomfort in one or both breasts.
	www.heaven-sent-cosmetics.com /cosmetic-dentistry-19/toothache-with-neck-tenderness.html (768 words)

	Diagnosis of Appendicitis (Site not responding. Last check: 2007-11-05)
		Pain is a symptom described by a patient; tenderness is the response to being touched.
		Two signs, called peritoneal signs, suggest that the lining of the abdomen is inflamed and surgery may be needed: rebound tenderness and guarding.
		Rebound tenderness is when the doctor presses on a part of the abdomen and the patient feels more tenderness when the pressure is released than when it is applied.
	www.health-explain.com /appendicitis/diagnosis.php (827 words)

	rebound tenderness - General Practice Notebook (Site not responding. Last check: 2007-11-05)
		Rebound tenderness is said to be present when the abdominal wall, having been compressed slowly, is released rapidly resulting in a sudden stab of pain.
		Recent evidence suggests that this is a very non-specific sign and that a better index of peritonitis is pain on coughing.
		Oxbridge Solutions Ltd® is an independent company owned by the authors which does not receive income from any other organisation or individual.
	www.gpnotebook.co.uk /cache/-2012872691.htm (140 words)

	Gastroenterology Grand Rounds
		As in our patient, the usual findings of toxic megacolon are abdominal distension, tenderness, fever, tachycardia and postural hypotension.
		Localized tenderness and rebound tenderness may suggest impending perforation; generalized tenderness with guarding and rebound tenderness strongly indicates a free perforation.
		Percussion of the right upper quadrant demonstrating loss of hepatic dullness may be the first clinical evidence of a perforation complicating toxic megacolon.
	www.bcm.edu /gastro/VGICC/GI-D0117/09-DISC.HTM (901 words)

	WORKSHOP 6 – CARDIOVASCULAR (continued) and ABDOMEN (Site not responding. Last check: 2007-11-05)
		Demonstrate how to assess for guarding and rebound tenderness.
		When you palpate the abdomen, always watch the patient’s face for signs of pain or discomfort.
		When there is tenderness, pain, guarding, or rebound, learn to think about the underlying organs in that quadrant that might be involved.
	www.ttuhsc.edu /som/FamMed/SPA/WORKSHOP6.htm (178 words)

	Rebound tenderness -- Facts, Info, and Encyclopedia article (Site not responding. Last check: 2007-11-05)
		Rebound tenderness -- Facts, Info, and Encyclopedia article
		Rebound tenderness is a clinical sign resulting from physical examination of the (The region of the body of a vertebrate between the thorax and the pelvis) abdomen.
		Abdominal pain is aggravated by stretching or moving of the (Click link for more info and facts about parietal) parietal layer of the peritoneal membrane.
	www.absoluteastronomy.com /encyclopedia/R/Re/Rebound_tenderness.htm (84 words)

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