Abstract
Acta PaediatricaVolume 99, Issue 6 p. 801-802 A case of a prolonged quest for the diagnosis of recurrent abdominal pain (Case Presentation) Gösta Alfvén, Gösta Alfvén CLINTEC Department, Karolinska Institute, Hallunda BUMM, Norsborg, SwedenSearch for more papers by this authorSam Smedberg, Sam Smedberg Department of Pediatrics, Helsingborg Hospital, Helsingborg, SwedenSearch for more papers by this author Gösta Alfvén, Gösta Alfvén CLINTEC Department, Karolinska Institute, Hallunda BUMM, Norsborg, SwedenSearch for more papers by this authorSam Smedberg, Sam Smedberg Department of Pediatrics, Helsingborg Hospital, Helsingborg, SwedenSearch for more papers by this author First published: 04 May 2010 https://doi.org/10.1111/j.1651-2227.2010.01765.x G Alfvén, CLINTEC Department, Karolinska Institute, Hallunda BUMM, Box 104, SE-145 01 Norsborg, Sweden. Tel: +46 8 578 376 65 | Fax: +46 8 531 759 39 |Email: gosta.alfven@karolinska.se The patient is placed in the supine position, and the abdomen is palpated to identify the area of greatest tenderness or pain. The patient is then asked to raise the head and shoulders from the table to facilitate contraction of the abdominal wall muscles. The muscles must be contracted enough to avoid palpation pressure through the abdominal wall. Pressure is reapplied to the previously identified area of tenderness. If the pain is increased (or at least as severe), the source of the patient’s symptoms is most likely to be the abdominal wall and Carnett’s sign is considered to be positive. A positive Carnett’s test and the precise localization of the triggered pain at typical areas for the penetration of cutaneous branches in the fascia of the rectus abdominis are regarded as diagnostic for ACNES. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume99, Issue6June 2010Pages 801-802 RelatedInformation
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