Scale pressure test

The ulnar pressure test refers to the auxiliary diagnosis method for checking whether the patient has abnormal symptoms by the ulnar pressure test. The main method is that the patient is placed in the supine position, and is placed on the abdominal wall with a hard ruler. The doctor presses the ruler with both hands, such as an ovarian cyst. Then the pulsation of the aorta and abdomen can be transmitted to the hard ruler through the cyst, causing the rhythm to be beaten; if it is ascites, the pressure gauge does not beat. Mainly used to distinguish between ovarian cysts and ascites. In the supine position, the head cushion is low, the two hands are placed flat on both sides of the torso, and the two legs are flexed together to relax the abdominal wall muscles for slow abdominal breathing. The doctor stands on the right side of the patient and faces the patient to observe whether the patient has an expression such as pain. When checking, the hand should be warm and the movement should be gentle. Basic Information Specialist Category: Inspection Category: Other Inspections Applicable gender: whether men and women apply fasting: fasting Tips: Before the examination, taboo mental stress, rapid abdominal breathing exercise. Normal value In the normal abdomen, except for the liver and spleen, there are voiced sounds or real sounds, and the rest are drum sounds. The degree of drum sound is directly related to the gas in the gastrointestinal tract, and has a certain influence on the liquid and solid content. When the gastrointestinal swell is high, the artificial pneumoperitoneum and the gastrointestinal perforation are used, the abdomen is highly drum sounded. When the parenchymal organ is extremely swollen, the intra-abdominal mass or a large amount of ascites, the lesion may have dull or real sound, and the drum sound range is narrowed, thereby assisting in identifying the nature of the abdominal lesion. Clinical significance Abnormal results: in the supine when the examination, the voiced area in the middle of the abdomen, the drum sound area on both sides of the abdomen, the situation is ovarian cysts, this is because the intestine is squeezed by the ovarian cyst to both sides of the abdomen; ovarian cysts are not voiced Mobility; ascites, the pressure gauge does not beat when performing the ulnar pressure test. People who need to be examined: ovarian cysts, abdominal edema. Precautions Forbidden before examination: mental stress, rapid abdominal breathing exercise. Requirements for examination: use the supine position, the head cushion is low pillow, the two hands are placed flat on both sides of the trunk, and the two legs are flexed together to relax the abdominal wall muscles for slow abdominal breathing. The doctor stands on the right side of the patient and faces the patient to observe whether the patient has an expression such as pain. When checking, the hand should be warm and the movement should be gentle. For people with nervousness, they can talk to the patient during palpation and divert their attention to relax the abdominal muscles. The order of examination should be combined with the consultation, starting from the healthy part, gradually moving to the lesion area. The general physical examination begins with the left lower abdomen, and the counter-clockwise direction, from bottom to top, first left and right, from shallow to deep, the abdominal area is carefully Palpation, and pay attention to comparing lesions and healthy areas. Inspection process The patient first takes the supine position, and percusses from the umbilicus to one side of the waist. When the drum sound becomes cloudy, the patient turns to the opposite side, and the doctor's left middle finger does not leave the abdominal wall. At this time, if the voiced sound becomes a drum sound, it is mobility. Voiced positive. This is an important method for diagnosing ascites. If the amount of ascites is small, the chest and knee position can be taken, so that the umbilicus is at the lowest position, and the umbilical part of the umbilicus, if the part is changed from the drum sound in the supine position to the voiced sound, it suggests that there is possible ascites. Identification of giant ovarian cysts and ascites: 1 ovarian cysts are opposite to ascites. In the supine position, the voiced area is in the middle of the abdomen, and the drumy area is on both sides of the abdomen. This is because the intestine is squeezed by the ovarian cyst to both sides of the abdomen; 2 ovarian cysts are not mobile; 3 foot pressure test: the patient is supine, the doctor uses a hard foot to lie horizontally on the upper anterior superior iliac spine On the abdominal wall, use two hands to press the ruler. If there is a rhythmic beat that matches the heartbeat, it is an ovarian cyst. The tumor is caused by the active impulse of the abdomen to the abdominal wall. If it is ascites, the pressure gauge does not beat. Not suitable for the crowd Inappropriate people: All are suitable for the crowd. Adverse reactions and risks Nothing.

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