(1) Increased tension in the whole abdomen: more common in acute diffuse peritonitis (plate abdomen) caused by gastrointestinal perforation or organ rupture. <br>Tuberculous peritonitis and cancerous peritonitis, the abdominal wall is flexible and resistant to palpation, not easy to be crushed, and it is called a feeling of kneading. <br>(2) Increased local tension: caused by inflammation of intra-abdominal organs involving the peritoneum. <br>(3) Weakening of abdominal wall tension: seen in chronic wasting disease, severe dehydration, multiparous women, and the elderly and infirm. <br>2) Tenderness and rebound tenderness <br>(1) Tenderness: The location of tenderness is often the location of the lesion. Such as: gallbladder tenderness, appendix tenderness, etc. <br>(2) Rebound pain: more common in intra-abdominal organ lesions involving the adjacent peritoneum, seen in primary peritonitis.
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