Blumberg's sign
| Rebound tenderness | |
|---|---|
| ICD-10-PCS | R10.4 |
| ICD-9-CM | 789.6 |
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
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
- Abdominal exam
- Murphy's sign
- Rovsing's sign
References
- Who Named It?
- ^ J. M. Blumberg. Ein neues diagnostisches Symptom bei Appendicitis. Münchener medizinische Wochenschrift, 1907, 54: 1177-1178.
- ISBN 978-1-4051-0433-3.
- ^ Liddington MI, Thomson WHF. Rebound tenderness test. British Journal of Surgery, 1991, 78: 795–796
- PMID 17652298.
- PMID 8659965.