University of Central Florida College of Medicine, Graduate Medical Education, 6850 Lake Nona Blvd, Orlando, Florida, USA.
University of Florida, Department of Medicine, 2000 SW Archer Rd, Gainesville, Florida, USA.
Clin Med Res. 2020 Aug;18(2-3):102-108. doi: 10.3121/cmr.2018.1429. Epub 2019 Jul 19.
Percussion and auscultation are derived from the Latin words to touch and hear, respectively. Covered are abdominal percussion signs and ausculatory signs discovered from 1924 to 1980. Signs ascribed as medical eponyms pay homage to these physicians who provided new and unique insights into disease.
PubMed, Medline, online Internet word searches, textbooks, and references from other source text. PubMed was searched using the Medical Subject Heading (MeSH) of the name of the eponyms and text words associated with the sign.
Many of these signs have been discarded because of modern imaging and diagnostic techniques. When combined with a high clinical suspicion, positive results using percussion combined with palpation is a useful bedside technique in detecting splenic enlargement. Thus, some of these maneuvers remain important bedside techniques that skilled practitioners should master, and along with a meaningful history, provide relevant information to diagnosis. It is through learning about these signs that we gain a sense of humility on the difficulty physicians faced prior to the advent of techniques that now allow us an easier way to visualize and diagnose the underlying disease processes.
叩诊和听诊分别源自拉丁语中的“触摸”和“倾听”。本文涵盖了 1924 年至 1980 年间发现的腹部叩诊和听诊征象。被归为医学专有名词的征象是为了向这些医生致敬,他们对疾病提供了新的、独特的见解。
PubMed、Medline、在线互联网词汇搜索、教科书以及其他来源的参考文献。在 PubMed 中,使用了专有名词的 MeSH 主题词和与征象相关的文本词来搜索。
由于现代成像和诊断技术的发展,许多这些征象已经被摒弃。当结合高度的临床怀疑时,叩诊结合触诊的阳性结果是一种有用的床边技术,可以检测脾脏肿大。因此,这些操作中的一些仍然是重要的床边技术,熟练的从业者应该掌握,并且与有意义的病史一起,可以提供诊断相关的信息。通过了解这些征象,我们可以感受到医生在现代技术出现之前所面临的困难,这些技术使我们更容易观察和诊断潜在的疾病过程。