Cough Shock Symptom

A hernia of the external opening of the inguinal canal is a symptom of a cough impulse. Feeling the patient in a lying position causes a sharp contraction of the transverse abdominal wall muscle, which promotes the movement of the viscera through the hernial protrusion. The appearance of a hernia is always associated with diseases of the hollow internal organs.

The “Cough push” symptom (Touni-Kashtan, Touni cough push) is a method for diagnosing an external hernia of the anterior abdominal wall, which can be used as a screening test to identify the presence or absence of a hernia in patients with characteristic signs.

Description The "cough push" symptom was first described by Tawney and Kashtan, in 1985, as a result of the ability of the examining hand to visualize the hernia through the patient's tense state while performing a cough maneuver. A hernia is diagnosed when a shock is felt at the point of insertion of a finger located within the hernia defect. Patients with symptoms that include sharp, excruciating pain radiating through the rectus muscle to the suprapubic region often have a hernia that is pressing on the initial portions of the rectum. The symptom of a cough impulse is an informative indicator and can play a role during surgery, when the hernia will manifest itself more strongly with cough stimulation and tension. This method allows the researcher, due to the presence of contrast between the hernia base and the abdominal wall, to determine the presence or absence of an obvious or hidden hernia by easily inserting a finger inside the hernial ring. When a hernia is detected