Rebound abdominal tenderness
ICD-10 R10.82 is a billable code used to indicate a diagnosis of rebound abdominal tenderness.
Rebound abdominal tenderness is a clinical sign indicative of peritoneal irritation, often associated with acute abdominal conditions. It is assessed during a physical examination when a clinician applies pressure to the abdomen and then quickly releases it. The presence of rebound tenderness suggests that the abdominal cavity is inflamed, which may be due to various underlying conditions such as appendicitis, pancreatitis, or perforated viscus. This sign is particularly significant in the evaluation of acute abdominal pain, as it can help differentiate between benign and serious causes of abdominal discomfort. The clinical context is crucial, as rebound tenderness is often accompanied by other signs such as guarding, rigidity, and localized pain. Laboratory findings may include elevated white blood cell counts or imaging results that indicate inflammation or obstruction. Accurate identification and documentation of rebound tenderness are essential for guiding further diagnostic and therapeutic interventions.
Detailed documentation of the physical examination findings, including the presence of rebound tenderness and associated symptoms.
Evaluation of patients presenting with acute abdominal pain, particularly in cases of suspected appendicitis or diverticulitis.
Consideration of the patient's history and other clinical signs to support the diagnosis.
Comprehensive documentation of the patient's presentation, including vital signs, physical examination findings, and any imaging or lab results.
Acute presentations of abdominal pain requiring immediate assessment and intervention.
Rapid assessment and documentation are critical in emergency settings to ensure timely diagnosis and treatment.
Used when a patient presents with rebound tenderness and requires moderate complexity medical decision-making.
Document the physical exam findings, including rebound tenderness, and the medical decision-making process.
Emergency medicine documentation must be thorough to justify the level of service.
Rebound tenderness is a critical sign indicating potential peritoneal irritation, often necessitating further investigation for serious abdominal conditions.
Documentation should include the method of assessment, the presence of rebound tenderness, and any associated symptoms or findings.