Abdominal wall tenderness: a useful sign in chronic abdominal pain.
In my practice as a consultant gastroenterologist that present with abdominal pain in which the cause of the pain is the result of abdominal wall conditions, or disorders that affect the nerves to the abdominal wall. The diagnosis of abdominal wall pain can be made by careful history and physical examination, thus eliminating numerous unnecessary and sometimes dangerous invasive procedures and tests. Many Gastroscopies are for the wrong reason because the doctor did nit test for Carnett
Please refer to your Clinical Examination book and learn more about Carnett.
Best wishes
Dr Philip Hardo

can you provide more info. about how to detect this sign? in picture?

Dear friend
Thank you for your interest. I hope you find this explanation helpful.
Abdominal tenderness unchanged or increased when abdominal wall is tensed (positive Carnett's sign) Discrete, tender pain trigger point no more than a few centimeters in diameter. Trigger points often found along lateral margins of the rectus abdominis muscles or at attachments of muscle or fascia With stimulation of trigger point, referral of pain or spreading of pain over a large area
Tenderness originating from inside the abdominal cavity usually decreases when a supine patient tenses the abdominal wall by lifting head and shoulders off the examining table about 45 dgeree (asking the patintient to lean forward and maintain the pressure). In contrast, pain originating from the abdominal wall is unchanged or increased by this maneuver (positive Carnett's sign).
A tender trigger point in the abdominal wall is frequently no more than 1 or 2 cm in diameter. However, it is not unusual for the pain to spread over a wide area or to be referred. For instance, pressing on a tender trigger point in the right upper quadrant (nerve root T7) can refer pain to the angle of the scapula. Patients are often so preoccupied with the large area of pain spread that they do not realize the area of tenderness is extremely localized and superficial
Best wishes
Dr Philip Hardo

thanks alot.I would be greatful,If you have sites for case studing problems in internal medicine and a good site for x-ray.

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thanks alot.I would be greatful,If you have sites for case studing problems in internal medicine and a good site for x-ray.

Thank you my dear

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best wishes