— 生理適應 · EASY · MCQ —
護理師評估懷疑闌尾炎的病人。應在哪裡發現點狀壓痛？
A nurse is assessing a patient with suspected appendicitis. Where would the nurse expect to find point tenderness?
- ARight upper quadrant右上象限
- BLeft lower quadrant左下象限
- CEpigastric area only僅上腹部區域
- DMcBurney's point✓ 正解麥氏點
— Explanation · 中文詳解 —
闌尾炎（Appendicitis）的典型臨床表現是轉移性腹痛，初期在肚臍周圍，後期轉移至右下腹。McBurney's point（麥氏點）位於肚臍與右髂前上棘（ASIS）連線的外三分之一處，是闌尾發炎引起腹膜刺激徵象的經典觸痛點。護理師評估時若觸及此處有強烈壓痛，即高度懷疑闌尾炎。臨床思路中，這屬於常見的身體評估發現。
McBurney's point, located one-third of the distance from the right anterior superior iliac spine to the umbilicus, is the classic site of maximal tenderness in acute appendicitis. Pain typically migrates from the periumbilical region to this specific location in the right lower quadrant as inflammation progresses.