Tuesday, February 24, 2009

To Begin - It Is Necessary With Left

To begin - it is necessary with left to area, gradually coming nearer to the right. Spending a hand along a belly wall (without strong pressing) through a shirt of the patient define presence of a zone of morbidity (skin ) in right areas (a symptom Voskresensky, "a shirt" symptom, a sliding symptom). Very important symptom is protective - pressure of muscles of the stomach, arising reflex and corresponding to localisation a shoot. It is necessary to remember that, being afraid of pains, the patient can is artificial to strain a belly wall. However such pressure is changeable on a breath and an exhalation, it is not limited to a localisation zone a shoot, and grasps all forward belly wall, it disappears at derivation of attention of the patient. Deep as well as superficial, it is necessary - to begin far from the pathological centre. Its purpose - definition of painful - symptoms. At reveal morbidity in right areas. The major symptom is the symptom of ShChetkina - Bljumberga - pain strengthening at sharp Hands after preliminary pressing.