Opposite position

Introduction Position refers to the state of the body in the lying position. Observing changes in body position can provide some clues for the diagnosis of certain diseases. The anti-tensioning of the horn is due to the rigidity of the neck and back muscles, so that the head is tilted back, the chest and abdomen are convex forward, the back is overstretched, and the trunk is in the shape of a bow.

Cause

Most commonly seen in tetanus and pediatric meningitis.

an examination

Related inspection

Brain CT examination

Refers to the position that the patient is forced to take in order to alleviate the pain. Because the neck and back muscles are strong, the head is tilted back, the chest and abdomen are convex forward, the back is overstretched, and the trunk is in the shape of a bow.

Differential diagnosis

1. Automatic position

Refers to physical activity freely, without any restrictions, seen in normal people or some early illnesses or diseases.

2. Passive position

It means that you cannot adjust or change the position of your limb by your own strength. It is in a fixed and uncomfortable state. Common in patients with extreme weakness or loss of consciousness.

3. Forced position

(1) Forced sitting position is also called sitting breathing. This position is easy to breathe, and because the lower limb position is lower than the heart, the blood return to the heart is reduced, and the burden on the heart is relieved. It is more common in patients with severe heart failure and patients with pulmonary insufficiency.

(2) Forced prone position This position can reduce the tension of the lower back muscles, which are common in patients with spondylitis and spinal trauma.

(3) Forced lateral position is seen in patients with pleural effusion on one side and a large amount of pleural effusion on one side, because it can alleviate the pain and allow the respiratory muscles and lungs of the healthy side to breathe retentively to relieve breathing difficulties.

(4) Forcing the supine patient to lie on his back and twist the legs, which can reduce the abdominal muscle tension and relieve pain, and is seen in some pain caused by abdominal diseases such as peritonitis.

(5) Forced stop positions appear more suddenly when standing on foot, and handcuffs the front area, and then continue to move forward. Most of them are caused by angina pectoris, and then even faint or sudden death. If you have a similar episode, you need to go to the hospital immediately and carry the necessary medicines for emergency use.

(6) Forced sputum patients in the activity, due to palpitations or difficulty breathing, and take the position of the knee or chest to relieve symptoms, common in cyanotic congenital heart disease.

(7) The position of the squat is expressed as the patient tossing and turning in the bed, constantly changing the position.

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