A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours
To examine the patient's abdominal pain, you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended. After you release the pressure, the patient complains of pain at the pressure site, indicating a. referred rebound tenderness. c. direct rebound tenderness.
b. localized pain. d. positive Cullen's sign.
C
Direct rebound tenderness is identified when the abdominal wall returns to its normal position and the patient complains of pain at the pressure site. Referred rebound tenderness would be pain felt at another site when the pressure is released. In light-skinned individuals, a blue tint at the umbilicus suggests free blood in the peritoneal cavity known as Cullen's sign.
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