Guseva Symptom

Topic of the article: Gusev's symptom.

**Description** **Gusev symptom** - pain that occurs when the patient bends in an anti-support position (vertical), manifested in the right hypochondrium or in the area of ​​the xiphoid process. With prolonged standing, especially when raising the arms, there is an increase in pain - Uspensky's symptom. When palpating the inflamed appendix, there is a slight decrease in pain and a distinct shift of pain from the right hypochondrium to the right iliac or along the midline of the abdomen with pain spreading below the navel. A distinctive feature of Gusev's symptom is a sharp weakening or complete cessation of pain when the position of the limbs changes.

The symptom was described by the Russian clinician Alexey Vasilyevich Gusarov (1828-1905). Named in honor of Gusev's friend - medical student Vladimir Ivanovich Gusev (1878-1961), who was able to describe the symptom in detail and apply it to make a diagnosis for chronic inflammation of the vermiform and double foramen.

Due to some inaccuracy in identifying other projection zones of the pain syndrome, which is observed with severe inflammatory and allergic manifestations, there is a need to differentiate the “Gusev symptom” from parallel pathological, predominantly disseminated (“schistomycoid”) foci of tumor etiology with a peripheral projection. (leukoplakic lung lesions)

Gusev's symptom is the appearance of pain in the right side, which may indicate the presence of chronic appendicitis. This symptom in itself is not a diagnosis, but can serve as a definite sign for doctors who want to determine the cause of a patient's pain.

Gusev's symptom was described in 1963 by Russian surgeon Vladimir Gusev. The symptom is associated with the location of the appendix, which is located in the cecum and is often in the path of pain in chronic neuralgia. When the patient tries to bend his torso to the left or right, while he raises his arms in a bent state, part of the intestine is pinched and causes pain in the right side of the abdomen. One of the main features of the symptom is that it is most likely to occur in people suffering from chronic appendicitis. For example, in combination with acute abdominal pain or other characteristic symptoms (for example, nausea, vomiting, fever), this symptom may be one of the first signs of the onset of an attack of appendicitis and will allow the patient to quickly receive medical assistance. In addition, it may indicate chronic diseases of the liver, lungs, and pelvic organs.

Despite the fact that Gusev’s symptom is more of an alarming sign and not a 100% sign of a specific diagnosis, some doctors still classify it as one of the most accurate symptoms for diagnosing chronic inflammation of the appendix.