Machiavelli
Forum Senior
Topics: 49
Posts: 65
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If I palpate the abdomen and the SP acts as if there is RUQ pain, and I want to check the liver span or check Murphy's sign. This might be painful to the SP - should I or Shouldn't I do these ? Is it considered repeating painful maneuverts ?
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| New to USMLE
Forum Elite
Topics: 67
Posts: 135
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write U/S abd. in work up and tender to light touch in PE. If will fail that particular case if by chance you illicited painful manuver twice after subject told you.
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| zzpearl
Forum Senior
Topics: 52
Posts: 142
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Is this mean we can not check "deep palpation" or "rebound tenderness" if Patient already has pain on superficial palpation?
Not sure.
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| drk1980
Forum Guru
Topics: 147
Posts: 1,038
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that sounds tricky.
if the patient has exquisite pain on even 'touching the skin' then i guess we can forego deep palpation and rebound......and not forget to mention that in PN...O/E not able to elicit those manuevers due to extreme pain.
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