Abdominal Physical Signs and Medical Eponyms: Movements and Compression
Abdominal Physical Signs and Medical Eponyms: Movements and Compression
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DOI：
10.3121/cmr.2018.1422
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发表时间：
2018-12-01
影响因子：
1.4
通讯作者：
Yale, Steven H.
中科院分区：
文献类型：
--
作者：
Rastogi, Vaibhav;Singh, Devina;Yale, Steven H.
背景：在现代成像技术出现之前，手法是体检的一部分，以进一步评估病理结果或急腹症，并进一步提高临床医生的诊断敏锐度，以确定疾病的部位和原因。诸如改变病人、四肢的位置或通过压力使特定的器官或结构从其原始位置移位等手法通常被用来加剧或引起疼痛。数据来源：PubMed、Medline、在线单词搜索、教科书和其他来源的参考文献。使用医学主题标题(MESH)检索PubMed中的地名和与该标志相关联的文本词。结论：这些主动和被动的腹部动作被报告为医学标志，在医疗实践中表现不一。诊断准确性的缺乏可能归因于混杂因素，如器官的位置，原始技术的修改，或缺乏最初预期的动作表现。
Background: Prior to the advent of modern imaging techniques, maneuvers were performed as part of the physical examination to further assess pathological findings or an acute abdomen and to further improve clinicians' diagnostic acumen to identify the site and cause of disease. Maneuvers such as changing the position of the patient, extremity, or displacing through pressure a particular organ or structure from its original position are typically used to exacerbate or elicit pain. Some of these techniques, also referred to as special tests, are ascribed as medical eponym signs.Data sources: PubMed, Medline, online Internet word searches, textbooks and references from other source text. PubMed was searched using the Medical Subject Heading (MeSH) of the name of the eponyms and text words associated with the sign.Conclusion: These active and passive maneuvers of the abdomen, reported as medical signs, have variable performance in medical practice. The lack of diagnostic accuracy may be attributed to confounders such as the position of the organ, modification of the original technique, or lack of performance of the maneuver as originally intended.