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Boas' sign

From Wikipedia, the free encyclopedia
Not to be confused withPsoas sign.
Medical condition
Boas' sign
Differential diagnosisAcute cholecystitis, Stomach disease

Boas' orBoas's sign ishyperaesthesia (increased or altered sensitivity) below the rightHypochondrium or 12th rib region, which can be a symptom inacutecholecystitis (inflammation of thegallbladder).[1] It is one of many signs a medical provider may look for during anabdominal examination.[2]

Originally this sign referred to point tenderness in the region to the right of the 10th to 12th thoracic vertebrae.[3] It is less than 7% sensitive.[4][5]

Its namesake isIsmar Isidor Boas (1858–1938), a German physician and the first licensed GI specialist in his country.[6]

Boas' sign can also indicate stomach and duodenal disease. When the transverse processes of thoracic vertebrae T10-T12 are pressed oreffleuraged with the bottom of the hand, pain can appear at the left ofspinous processes (instomach'slesser curvatureulcer) or at the right (inpyloric orduodenal ulcer).[7]

References

[edit]
  1. ^"Boas' sign". GPnotebook. Archived fromthe original(web) on 2007-02-07. Retrieved2007-01-21.
  2. ^Hewish, Dr Paul."Abdominal Examination"(web). Patient Plus. Retrieved2007-01-21.
  3. ^Trowbridge, RL; Rutkowski, NK; Shojania, KG (1 January 2003)."Does this patient have acute cholecystitis?"(PDF).JAMA.289 (1):80–6.doi:10.1001/jama.289.1.80.PMID 12503981.S2CID 19833876. Archived fromthe original(PDF) on 4 March 2016. Retrieved16 June 2015.
  4. ^"Gastroenterology Grand Rounds". Archived fromthe original on 2012-04-01. Retrieved2011-09-16.
  5. ^Gunn A, Keddie N. Some clinical observations on patients with gallstones. Lancet 1972;2:230-241
  6. ^"Ismar Isidor Boas"(web). Whonamedit.com. Retrieved2011-01-09.
  7. ^Gupta (1 January 2003).Textbook of Surgery. Jaypee Brothers Publishers. p. 767.ISBN 978-81-7179-965-7.
Signs and symptoms relating to thehuman digestive system, including theabdomen andeating disorders that are associated
Gastrointestinal
tract
Accessory
Defecation
Abdomen
Pain
Distension
Masses
Other
Hernia
Other
Eating disorders


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