Alexandrova Symptom

Alexandrova Symptom: Opening of an edematous surgeon

Alexandrov's symptom, named after the outstanding Russian surgeon Lev Petrovich Alexandrov (1857-1929), is one of the important clinical signs used in medicine to diagnose certain conditions. In this article we will look at the meaning and application of Alexander's symptom in clinical practice.

Lev Petrovich Aleksandrov was an outstanding Russian surgeon and anatomist who made a significant contribution to the development of medical science and practice. During his long career, he held a number of important medical positions, including the position of chief surgeon at the Botkin Hospital in Moscow. Alexandrov was also the author of numerous scientific papers and publications that had a significant impact on the development of surgery.

Alexander's sign is one of many clinical signs used in medicine to diagnose certain diseases or conditions in a patient. It was described and systematized by Lev Petrovich Alexandrov himself and received his name. A symptom is a specific occurrence or change in the body that may indicate the presence of a specific disease or condition.

Alexander's symptom is often used in the field of surgery. It refers to the area of ​​identifying signs of internal bleeding. According to this symptom, when palpating the abdomen in a certain area of ​​the patient, the doctor may detect a characteristic pain sensation or increased pain, which may indicate the presence of hemorrhage inside the abdominal cavity. This symptom is an important tool for diagnosing and identifying conditions such as internal bleeding after injury or as a result of the development of tumors.

In addition to detecting bleeding, the Alexander sign can also be used to assess the effectiveness of treatment or to monitor the patient's condition after surgery. If the symptom disappears or decreases after the necessary medical procedures or surgery, this may indicate a positive dynamics of recovery and the effectiveness of the treatment.

Despite the fact that Alexandrov’s symptom was described at the beginning of the 20th century, it is still relevant and is used in modern medical practice. It serves as an important tool for doctors to more accurately diagnose and monitor patients, especially in cases involving internal bleeding.

In conclusion, the Alexandrov sign, named after the eminent Russian surgeon Lev Petrovich Alexandrov, is an important clinical sign used in medicine to detect and diagnose internal bleeding. This symptom is of great importance in surgery and helps doctors make decisions about emergency medical interventions.

**Alexandrova's symptom** is a clinical sign by which blood circulation in the abdominal cavity is assessed: percussion, comparing the sizes of the abdomen and liver in three positions of the subject on his back: standing, lying on his back and in the “on his side” position. This sign is used by patients with abdominal diseases.

Possible indicators for assessing the abdomen for the Alexander symptom: * normal position; * increasing the height of the upper border; * weakening on the left and strengthening on the right. * An increase in the height of the apex is a normal sign. Changing the acoustic properties of tissues gives a different sound picture of acoustic symptoms for each part of the body. When the distance between the heart and the diaphragm changes, transfusion sounds (pulsation) are heard. Reflection of sounds occurs in the lateral processes of the vertebrae of the chest. With a poorly developed subcutaneous fat layer, tapping low-lying organs causes a woody sound. Muscle tissue can produce different noises (dull, rattling, large and small tone, loud tone). This loud noise, increasing with breathing due to the movement of gases, intensifies when the anterior wall of the abdominal cavity is tense and, conversely, weakens when the latter weakens, therefore, in atonic states and hemorrhagic shock. The noise also increases with increasing intra-abdominal pressure (contraction of the diaphragm). When intra-abdominal gas increases beyond the surface of the patient's body, the sound flows at some distance. This is explained by the reflective influence of the walls of the abdominal cavity; when fluids leak to the surface of the abdominal cavity, they create additional acoustic barriers for sound reflection. The reflection boundary of moving sounds changes as the position of the subject changes. When examining a patient's abdomen on his back, you should pay attention to a number of indicators. The abdominal wall in all sections (from the xiphoid process to the pubic symphysis) should be the same in thickness. Its change is observed in various diseases of the abdominal organs (ascites, accumulations of hydrops of intracranial tumors, ascites in tumors of the central nervous system, etc.). An acoustic symptom of pathological changes is swelling of the internal surfaces of the abdominal wall and transmission of knocking to nearby vertebrae. The border between the abdominal wall and the anterolateral wall of the sternum should be at the level of the intercostal spaces of the 7th-8th rib

You should be wary of a sharp shock running parallel to the spine, that is, a change in the boundaries between the skeleton of the torso and the abdominal organs, especially if these boundaries are sharply defined. In the epigastric area there is normal