Bolton's sign

Pottenger's sign is the "Bolton's intercostal muscle palpation sign". In a warm room, the patient sits and breathes evenly. The examiner performs palpation on both sides of the chest wall, checks the tension of the intercostal muscles and senses the resistance with the respiratory body. If the tension of one or part of the intercostal muscle is found to be significantly increased compared with the contralateral side, it is the sign. This sign may be helpful in the diagnosis of inflammation of the lungs and pleura. It may be caused by inflammatory lesions of the lungs and pleura stimulating the parietal pleura, or stimulating the intercostal nerve to cause an increase in the localized tension of the intercostal muscles. . Basic Information Specialist Category: Respiratory Examination Category: Physical Examination Applicable gender: whether men and women apply fasting: not fasting Tips: Check the method should be gentle, so as not to cause muscle tension. Normal value The tension of one or partial intercostal muscles is approximately the same as that of the contralateral side. Clinical significance Abnormal results: the tension of one or part of the intercostal muscle was significantly increased compared with the contralateral side, inflammation of the lungs and pleura. People to be examined: people with lungs and pleurisy. Precautions Before the examination, the doctor should explain the purpose of the palpation to the patient, eliminate the patient's nervousness, and obtain the close cooperation of the patient. Requirements for inspection: The physician should be warm, and the examination should be gentle, so as not to cause muscle tension and affect the inspection effect. The patient's expression should be observed at any time during the examination. The patient should take the appropriate position in order to obtain satisfactory results. Usually should be placed in the supine position, hands on the side of the body, legs slightly curved, abdominal muscles as relaxed as possible. Inspection process In a warm room, let the patient sit and breathe evenly. The examiner performs palpation on both sides of the chest wall, checks the tension of the intercostal muscles and senses the resistance with the respiratory body. If the tension of one or part of the intercostal muscle is found to be significantly increased compared with the contralateral side, it is the sign. Not suitable for the crowd Inappropriate crowd: no Adverse reactions and risks Nothing.

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