Rebound tenderness

Rebound tenderness Microchapters
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Overview
Historical Perspective
Pathophysiology
Causes
Epidemiology and Demographics
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
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Case #1
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Diagnosis

X-Ray

• Obstruction, perforation or other pathologies revealed by abdominal X-ray.

Other Diagnostic Studies

• Peritoneal lavage recommended for suspected trauma, peritonitis, or bowel perforation
• Persistent vomiting and obstruction require a nasogastric tub

Treatment

• Surgery
• Immediately replace volume with saline and/or blood transfusion for those patients are are hemodynamically unstable
• Bowel rest for diverticulitis or bowel obstruction (possible colon resection)

Pharmacotherapy

Acute Pharmacotherapies

• If intra-abdominal infection or perforated viscus is suspected, administer proper course of antibiotics

Indications for Surgery

• Life threatening emergencies such as; early sepsis or evidence of hemorrhage, require immediate surgical intervention
• Ruptured aneurysm, ectopic pregnancy, bowel perforation or ther pathologies require definite surgical repair.

References

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