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]
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.
However, in recent years[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]
^Golledge, J.; Toms, AP.; Franklin, IJ.; Scriven, MW.; Galland, RB. (January 1996). "Assessment of peritonism in appendicitis". Ann R Coll Surg Engl. 78 (1): 11–4. PMC2502643. PMID 8659965.
March 26, 2023
blumberg, sign, also, referred, rebound, tenderness, shchetkin, clinical, sign, which, there, pain, upon, removal, pressure, rather, than, application, pressure, abdomen, latter, referred, simply, abdominal, tenderness, indicative, peritonitis, named, after, g. 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 Rebound tendernessICD 10 PCSR10 4ICD 9 CM789 6 Contents 1 Procedure 2 Clinical significance 3 See also 4 ReferencesProcedure EditThe 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 EditThe 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 years 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 EditAbdominal exam Murphy s sign Rovsing s signReferences Edit synd 2449 at Who Named It J M Blumberg Ein neues diagnostisches Symptom bei Appendicitis Munchener medizinische Wochenschrift 1907 54 1177 1178 Dale Berg 2004 Advanced clinical skills and physical diagnosis Wiley Blackwell p 119 ISBN 978 1 4051 0433 3 Liddington MI Thomson WHF Rebound tenderness test British Journal of Surgery 1991 78 795 796 Bundy DG Byerley JS Liles EA Perrin EM Katznelson J Rice HE July 2007 Does this child have appendicitis JAMA 298 4 438 51 doi 10 1001 jama 298 4 438 PMC 2703737 PMID 17652298 Golledge J Toms AP Franklin IJ Scriven MW Galland RB January 1996 Assessment of peritonism in appendicitis Ann R Coll Surg Engl 78 1 11 4 PMC 2502643 PMID 8659965 Retrieved from https en wikipedia org w index php title Blumberg 27s sign amp oldid 1146253272, wikipedia, wiki, book, books, library,
