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PubMed · 10221085

[Pysical examination--rebound tenderness].

W A Bemelman·J Kievit
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Abstract

Rebound tenderness is generally practiced in the diagnosis of acute abdominal pain. It is a test that inflicts much discomfort to the patient. Literature data derived from reports assessing the reliability of the diagnosis of acute appendicitis indicate a sensitivity of 0.78-0.91 (pooled: 0.91) and a specificity of 0.48-0.60 (pooled: 0.60) of rebound tenderness. It would appear that rebound tenderness is a test of little specificity (leading to many false positive results) and that it has very little additional value, particularly in the presence of local tenderness and/or rigidity in patients with acute abdominal pain.

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Abdomen, AcuteAbdominal PainAppendicitisDiagnosis, DifferentialFalse Positive ReactionsFemaleHumansMalePalpationPeritonitisEnglish AbstractJournal ArticleReview

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W A Bemelman, J Kievit. 1999-02-06. [Pysical examination--rebound tenderness].. https://pubmed.ncbi.nlm.nih.gov/10221085/

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