Forced supine position

Introduction Compulsive lying on the back: In order to alleviate the pain of the disease, the patient is supine and the legs are flexed to relieve the tension of the abdominal muscles.

Cause

Found in acute peritonitis.

an examination

Related inspection

Laparoscopic blood routine

Often accompanied by flexion of the legs to relieve abdominal muscle tension.

Differential diagnosis

The differential diagnosis of forced supine position:

(1) Forced standing position: During the activity, due to the sudden onset of pain in the precordial area, the patient immediately stops in situ and often presses the front part of the heart. After the relief and improvement, the patient leaves the original position. Bit.

(2) Compulsive lying on the face: The prone position can relax the back muscles and be seen in spinal diseases.

(3) Compulsive lying on the side: Patients with pleural disease tend to lie on the affected side to relieve pain or cough, and help the side to compensate for breathing. See one side of pleurisy or a large number of pleural effusions. .

(4) Forced sitting position (sitting breathing, orthopenea): sitting position, hands on the knee or supporting the bed, so that the diaphragmatic muscles decrease and the lung volume and the lower limbs return to the heart, reduce the burden on the heart, and see the heart and lung dysfunction. .

(5) Compulsive squatting: In short-distance walking or other activities, due to the difficulty of breathing and palpitations, the distance between the body position and the knee position is relieved. It is seen in cyanotic congenital heart disease. Often accompanied by flexion of the legs to relieve abdominal muscle tension.

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