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Rebound tenderness

 

 
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Rebound tenderness
 
 
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Rebound tenderness is a clinical sign that a doctor
Physician

A physician, medical practitioner, doctor of medicine, or medical doctor practices medicine, and is concerned with maintaining or restoring human health through the study, diagnosis, and treatment of disease and injury....
 or nurse
Nurse

A nurse is a healthcare professional, who along with other health care professionals, is responsible for the treatment, safety, and recovery of Acute or Chronic ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings....
 may detect in physical examination of a patient's abdomen
Abdomen

In vertebrates such as mammals the abdomen constitutes the part of the body between the thorax and pelvis. The region enclosed by the abdomen is termed the abdominal cavity....
. It refers to pain upon removal of pressure rather than application of pressure to the abdomen. (The latter is referred to simply as abdominal tenderness.)

It represents aggravation of the parietal
Parietal

Parietal may refer to:*Parietal lobe of the brain*Parietal bone of the skull*Parietal scales of a snake lie in the general region of the parietal bone....
 layer of peritoneum
Peritoneum

In higher vertebrates, the peritoneum is the serous membrane that forms the lining of the abdomen — it covers most of the intra-abdominal organs....
 by stretching or moving.

Rebound is regarded as one of the classic local signs of peritonitis
Peritonitis

Peritonitis is defined as inflammation of the peritoneum . It may be localised or generalised, generally has an acute course, and may depend on either infection or on a non-infectious process....
 which differentiates it from diseases such as appendicitis
Appendicitis

Appendicitis is a condition characterized by inflammation of the Vermiform appendix. It is a medical emergency. All cases require removal of the inflamed appendix, either by laparotomy or laparoscopy....
.






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Rebound tenderness is a clinical sign that a doctor
Physician

A physician, medical practitioner, doctor of medicine, or medical doctor practices medicine, and is concerned with maintaining or restoring human health through the study, diagnosis, and treatment of disease and injury....
 or nurse
Nurse

A nurse is a healthcare professional, who along with other health care professionals, is responsible for the treatment, safety, and recovery of Acute or Chronic ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings....
 may detect in physical examination of a patient's abdomen
Abdomen

In vertebrates such as mammals the abdomen constitutes the part of the body between the thorax and pelvis. The region enclosed by the abdomen is termed the abdominal cavity....
. It refers to pain upon removal of pressure rather than application of pressure to the abdomen. (The latter is referred to simply as abdominal tenderness.)

It represents aggravation of the parietal
Parietal

Parietal may refer to:*Parietal lobe of the brain*Parietal bone of the skull*Parietal scales of a snake lie in the general region of the parietal bone....
 layer of peritoneum
Peritoneum

In higher vertebrates, the peritoneum is the serous membrane that forms the lining of the abdomen — it covers most of the intra-abdominal organs....
 by stretching or moving.

Rebound is regarded as one of the classic local signs of peritonitis
Peritonitis

Peritonitis is defined as inflammation of the peritoneum . It may be localised or generalised, generally has an acute course, and may depend on either infection or on a non-infectious process....
 which differentiates it from diseases such as appendicitis
Appendicitis

Appendicitis is a condition characterized by inflammation of the Vermiform appendix. It is a medical emergency. All cases require removal of the inflamed appendix, either by laparotomy or laparoscopy....
. The others are tenderness and guarding.

However, in recent years 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.

See also

  • Abdominal exam
  • Blumberg sign
    Blumberg sign

    Blumberg's sign is a sign that is elicited during physical examination in medicine. It is indicative of peritonitis.The abdominal wall is compressed slowly and then rapidly released....