Check PSOAS SIGN

Check PSOAS SIGN

Examine important: his name PSOAS SIGNLocated right PSOAS muscle behind appendicitis in humans When inflammation occurs in appendicitis Vnsttia ask the patient to turn the hip while paying his leg in the opposite Alatjh any we resist what he does. In this case will reduce patient muscle the PSOAS to turn the thigh but suffers because she is affected inflammation, then if we determine that the patient felt Palm, we make sure more than that the cause of pain in the stomach is an inflammation of the appendix or that there inflammation and pus behind the peritoneum RETROPERITONEAL ABCESS.Check out these brand in the left and right side of the bodyMark this examination after you examine the bellyIf you find that this marker present when the patient, you have to be vigilant: This patient should undergo surgery. Priest acts quickly the patient's vital any blood pressure, pulse and temperature, attended the surgery. Ask him to not eat or drink (except a little water) and give him intravenous fluids IV FLUIDS. To prevent injury dryly, but do not give it a laxative or enema because it is possible to cause the explosion appendicitis.Other signs of appendicitis: Palm fuzzy feeling in the middle of the abdomen and then moves to the right side of the lower abdomen. Bzbd sensation of pain when walking or coughing patient (called pain when moving from one place to another), as well as less appetite and feel nausea and sometimes Tqi, heat and light and feeling sick.If touched abdomen patient Vsialm, usually be a pain in the right side and if Datt in place will feel the pain sharply and if your hand will feel lifted Palm more REBOUND TENDERNESS. Sometimes there is diarrhea or catch or no change. Sometimes there is a change in the urine. Sometimes the place appendicitis in a place other than usual, for example, that up to the liver, which does not give the same image known pathological making diagnosis difficult.If worked laboratory testing of blood, you will ask the number of white blood cells, to see whether there is inflammation but do not rely on the analysis, because in many cases there is inflammation, but the number of white blood cells still did not rise.Other way when the difficulty of diagnosis and is the work of ultrasound examination.If flamed appendicitis exploded the dirt will spread in the abdomen inside the peritoneum feels patient Palm severe sudden he can not move his stomach because any movement be very painful and call this case PERITONITIS and stop intestinal work ABSENT BOWEL SOUNDS and high fever and abdominal Klouh wood boardlike abdominal rigidity

Pus behind the peritoneum Retroperitoneal abscessIf there is inflammation in the area behind the peritoneum any abdominal wall from behind the foldable will be too painful thigh with fever.After a lower retroperitoneal infection, an iliac or lumbar abscess can produce a positive right or left psoas sign and a fever. An iliac abscess causes iliac or inguinal pain that may radiate to the hip, thigh, flank, or knee; a tender mass in the lower abdomen or groin may be palpable. A lumbar abscess usually produces back tenderness and spasms on the affected side with a palpable lumbar mass; a tender abdominal mass without back pain may occur instead.

In the elderly may disappear despite the presence of signs of inflammation. You can be sure that pain is caused by inflammation near the muscle, not hip pain