What is abdominal rebound and guarding? Abdominal guarding is the tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon them. The tensed muscles of the abdominal wall automatically go into spasm to keep the tender underlying tissues from being disturbed.
What causes abdominal guarding?
Jan 11, 2020 · What is abdominal rebound and guarding? Abdominal guarding is the tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon them. The tensed muscles of the abdominal wall automatically go into spasm to keep the tender underlying tissues from being disturbed.
What does rebound and guarding mean?
Abdominal guarding is the tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon them. [en.wikipedia.org] General symptoms Diffuse abdominal pain with abdominal guarding and/or rebound tenderness Nausea, and vomiting Fever and chills Possibly shoulder pain Ascites in SBP Sparse [amboss.com]
What is guarding of the abdomen?
Feb 19, 2020 · Moreover, what is abdominal guarding or rebound tenderness? Abdominal guarding. Abdominal guarding is the tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon them. The tensing is detected when the abdominal wall is pressed. Abdominal guarding is also known as 'défense musculaire'. Is …
What is Abdominal guarding?
abdominal guarding n. A spasm of the abdominal wall muscles to protect inflamed abdominal viscera from pressure; it usually results from inflammation of the peritoneal surface as in appendicitis, diverticulitis, or generalized peritonitis, and is detectable on palpation.
What is abdominal guarding or rebound tenderness?
Abdominal guarding is also known as 'défense musculaire'. Guarding is a characteristic finding in the physical examination for an abruptly painful abdomen (an acute abdomen) with inflammation of the inner abdominal (peritoneal) surface due, for example, to appendicitis or diverticulitis.
What is abdominal rebound?
Blumberg's sign (also referred to as rebound tenderness or the Shyotkin–Blumberg 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.
What does guarding mean on abdominal exam?
Guarding is the voluntary or involuntary tensing of the abdominal muscles, and tends to be generalized over the entire abdomen. Voluntary guarding is a conscious contraction of the abdominal wall in anticipation of an exam that will cause pain.Feb 5, 2021
What does rebound abdominal pain mean?
Rebound tenderness occurs when the tissue that lines the abdominal cavity (the peritoneum) is irritated, inflamed, or infected. This is called peritonitis.Oct 10, 2020
What is meant by guarding in medicine?
: involuntary reaction to protect an area of pain (as by spasm of muscle on palpation of the abdomen over a painful lesion)
What is voluntary guarding?
Voluntary guarding is contraction of the abdominal muscles in response to pain from palpation and may be. accompanied by a gasp or the patient bringing their hand towards the area. Involuntary guarding is reflex contraction. of the abdominal muscles overlying inflamed peritoneum.
How do you know if its rebound pain?
Although rebound tenderness is a widely used examination, it is uncomfortable and may be inaccurate. To perform the pinch-an-inch test, a fold of abdominal skin over McBurney's point is grasped and elevated away from the peritoneum. The skin is allowed to recoil back briskly against the peritoneum.
Treatment
If perforated viscus or intra-abdominal infection suspected, administer broad-spectrum empiric antibiotics
Surgery and device-based therapy
Early sepsis, or evidence of hemorrhage may require surgery (likely to be life-threatening emergency)
What is the Blumberg sign?
What is Blumberg’s sign? Rebound tenderness , also called Blumberg’s sign, is something your doctor might check for when diagnosing peritonitis. Peritonitis is the inflammation of the membrane on the inside of your abdominal wall (the peritoneum).
What does rebound tenderness mean?
If you do feel pain or discomfort, you have rebound tenderness. If you don’t feel anything, it helps your doctor to rule out peritonitis as a cause of your symptoms.
What causes fluid buildup in the abdomen?
Liver disease. Scarring of liver tissue, known as cirrhosis, can cause ascites, which refers to the buildup of fluid in your abdomen. If too much fluid builds up, it can cause a condition called spontaneous bacterial peritonitis. Surgery complication.
Can an appendix rupture cause peritonitis?
An infected or injured appendix can burst, spreading bacteria into your abdomen. An abdominal infection can quickly turn into peritonitis if your ruptured appendix isn’t removed or treated right away. Stomach ulcer. A stomach ulcer is a sore that can appear on your stomach lining.
What is a sore on the stomach called?
A stomach ulcer is a sore that can appear on your stomach lining. A certain type of ulcer known as a perforated peptic ulcer can create an opening in the stomach lining, causing an infection in the abdominal cavity. Pancreatitis.
What causes peritonitis in the abdomen?
Pancreatitis. Inflammation or infection of your pancreas can spread into your abdominal cavity and cause peritonitis. Pancreatitis can also cause a fluid called chyle to leak from your lymph nodes into your abdomen. This is known as acute chylous ascites and can cause peritonitis. Diverticulitis.
Why does my abdomen hurt?
The pain felt in an acute abdomen is caused by peritonitis (e.g., inflammation of the peritoneum). Peritonitis can be caused by conditions such as a perforated peptic ulcer, small or large bowel obstruction or perforation, diverticular disease, or inflammatory bowel disease (IBD). Figure 2.
What is acute abdominal pain?
Severe, acute abdominal pain with an abrupt onset of less than 24 hours is known as an acute abdomen. This is often associated with fever, tachycardia, hypotension, or hypoxia. The initial assessment should be quick and accurate to determine if immediate surgical intervention is needed.
Is ischemic bowel disease urgent?
Ischemic bowel disease is also an urgent condition. These patients tend to have abdominal pain out of proportion to what is found on the exam. The pain is diffuse and constant, and the patient may present with hypotension or hypertension, a rigid abdomen, and tachycardia.
What is rebound tenderness?
Rebound tenderness involves tenderness with the sudden withdrawal of manual pressure. This causes more pain than the actual application of pressure during an abdominal exam.
What is the condition where bowel contents leak into the abdomen?
Another urgent condition is a perforated viscus such as a bowel perforation. In this condition bowel contents leak into the abdomen, which is extremely irritating to the peritoneal cavity. These patients present with tachycardia, hypotension, and fever.
What is voluntary guarding?
Voluntary guarding is a conscious contraction of the abdominal wall in anticipation of an exam that will cause pain. Involuntary guarding is a reflex contraction or spasm of the abdominal muscles on palpation due to localized peritoneal inflammation.
