Rebound tenderness

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Rebound tenderness
ICD-10 R10.4
ICD-9 789.6

Rebound tenderness is a clinical sign that a doctor or other health care provider may detect in physical examination of a patient's abdomen. 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 layer of peritoneum by stretching or moving.

Rebound tenderness can be associated with peritonitis,[1] 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 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.[2]

Use of the sign has been supported by others.[3][4]

See also[edit]

References[edit]

  1. ^ Dale Berg (14 May 2004). Advanced clinical skills and physical diagnosis. Wiley-Blackwell. pp. 119–. ISBN 978-1-4051-0433-3. Retrieved 26 October 2010. 
  2. ^ Liddington MI, Thomson WHF. Rebound tenderness test. British Journal of Surgery, 1991, 78: 795–796
  3. ^ Bundy, DG.; Byerley, JS.; Liles, EA.; Perrin, EM.; Katznelson, J.; Rice, HE. (Jul 2007). "Does this child have appendicitis?". JAMA 298 (4): 438–51. doi:10.1001/jama.298.4.438. PMC 2703737. PMID 17652298. 
  4. ^ Golledge, J.; Toms, AP.; Franklin, IJ.; Scriven, MW.; Galland, RB. (Jan 1996). "Assessment of peritonism in appendicitis.". Ann R Coll Surg Engl 78 (1): 11–4. PMC 2502643. PMID 8659965.