obturator muscle test

The closed-cell internal muscle test refers to an index of abdominal examination, which is mainly used as an auxiliary diagnostic method for judging whether the appendix is ​​normal. The obturator muscle tendon penetrates through the ischial hole and then turns to the outer side of the rotor socket. This is the obturator muscle. During the examination, the patient was placed in a supine position to flex the right hip and right thigh, and both the right hip and the right knee were flexed 90° and the semi-right femoral rotation was inward, causing a positive right lower abdominal pain. It is suggested that the appendix is ​​close to the inner muscle of the obturator. Basic Information Specialist classification: Digestive examination classification: other examinations Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The test did not cause a pain in the lower right abdomen, and the test was negative. Positive: A positive test of the obturator muscle may indicate acute appendicitis. Metastatic right lower abdominal pain is a typical clinical manifestation of acute appendicitis. Due to visceral transposition of the cecum and appendix in the left lower abdomen, metastatic left lower abdominal pain should also consider the possibility of left appendicitis. The location of the initial pain and the time required for the transfer process vary from person to person, but it should be noted that about 1/3 of the patients start with right lower abdominal pain, especially in the acute attack of chronic appendicitis, so no metastatic right lower abdominal pain can not be completely excluded. The presence of acute appendicitis must be combined with other symptoms and signs. Others may have gastrointestinal symptoms such as nausea and vomiting. There is no fever in the early stage, and there is obvious fever and other systemic poisoning symptoms when the appendix is ​​purulent or perforated. Tips: Check the doctor to talk with the examinee, divert their attention and reduce abdominal muscle tension. Normal value The obturator is a large hole between the ischial bone and the pubic bone, and the edge is sharp, and the obturator film is attached thereto. The obturator tube is a fiber-bone tube with a length of about 2 to 3 cm. The obturator tube has two internal and external ports from the outside to the lower, and the obturator artery, vein, and nerve pass through. The inner mouth of the obturator tube is filled with fat. Organization, can only accommodate fingertips when normal. The right hip and right knee were flexed 90° and the semi-right femoral rotation was inward, and the right lower quadrant pain was not caused. The test was negative. Clinical significance Abnormal results: Positive intracranial muscle test may indicate acute appendicitis. Metastatic right lower abdominal pain is a typical clinical manifestation of acute appendicitis. Due to visceral transposition of the cecum and appendix in the left lower abdomen, metastatic left lower abdominal pain should also consider the possibility of left appendicitis. The location of the initial pain and the time required for the transfer process vary from person to person, but it should be noted that about 1/3 of the patients start with right lower abdominal pain, especially in the acute attack of chronic appendicitis, so no metastatic right lower abdominal pain can not be completely excluded. The presence of acute appendicitis must be combined with other symptoms and signs. Others may have gastrointestinal symptoms such as nausea and vomiting. There is no fever in the early stage, and there is obvious fever and other systemic poisoning symptoms when the appendix is ​​purulent or perforated. People who need to be examined: patients with acute appendicitis, elderly women, weight loss, patients with a history of similar episodes, multiple pregnancy and childbirth, and habitual constipation should be examined. This is also a routine physical examination. Positive results may be diseases: elderly acute appendicitis, acute appendicitis, habitual constipation, chronic appendicitis precautions Requirements for inspection: 1 In order to avoid the tension of the abdominal muscles of the examinee, the examiner may first place the palm on the abdominal wall, so that the examinee can adapt to a moment and then check; 2 When checking, you can talk to the examinee at the same time, diverting your attention and reducing abdominal muscle tension; 3 Various palpation techniques should be combined with different inspection sites for flexible application. Inspection process The closed-cell internal muscle test is performed by palpation, and the process is as follows: (1) The examinee should take the low-pillow supine position after urinating, the hands are naturally placed on both sides of the body, the legs are slightly bent apart, the abdominal muscles are relaxed, and the deep and uniform abdominal breathing is made. (2) The examiner should be on the right side of the examinee, and the forearm should be at the same level as the abdomen surface. The hand should be warm when inspecting, and the technique should be gentle. (3) Palpate the various parts of the abdomen in order. Generally, starting from the left lower abdomen, the examination is performed counterclockwise; the principle is to move from the bottom to the top, the first left and the right, and gradually move from the healthy part to the lesion area. (4) Observing the reaction and expression of the examinee while palpating, and giving comfort and explanation to those who are nervous or suffering. Not suitable for the crowd Inappropriate people: those with mental disorders. Adverse reactions and risks Nothing.

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