Rosenstein's sign

Rosenstein's sign
Synonyms
Pronounce	N/A
Specialty	Gastroenterology, General surgery
Symptoms	Increased abdominal pain in the right lower quadrant when shifting from supine to left lateral decubitus position
Complications	N/A
Onset	N/A
Duration	N/A
Types	N/A
Causes	Appendicitis
Risks	N/A
Diagnosis	Physical examination
Differential diagnosis	Acute abdomen, Pelvic inflammatory disease, Ectopic pregnancy
Prevention	N/A
Treatment	Appendectomy
Medication	N/A
Prognosis	Good with timely intervention
Frequency	Common in cases of appendicitis
Deaths	N/A

Rosenstein's sign is a clinical sign in which there is a delay or absence of the radial pulse on the affected side when a patient raises their arm. It is named after the physician who first described it, Dr. Nathan Rosenstein. This sign is often associated with thoracic outlet syndrome (TOS), a group of disorders that occur when the blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) become compressed.

Causes

Rosenstein's sign is typically caused by thoracic outlet syndrome. This can occur for several reasons, including physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy.

Diagnosis

Diagnosis of Rosenstein's sign is typically made through a physical examination. The physician will ask the patient to raise their arm, and then will check for a delay or absence of the radial pulse on the affected side. If Rosenstein's sign is present, further tests may be conducted to confirm the diagnosis of thoracic outlet syndrome. These tests may include X-rays, MRI scans, CT scans, and nerve conduction studies.

Treatment

Treatment for Rosenstein's sign involves addressing the underlying cause, which is typically thoracic outlet syndrome. This may involve physical therapy, medications to relieve pain and reduce inflammation, and in some cases, surgery to decompress the thoracic outlet.

See also

• Thoracic outlet syndrome
• Radial pulse
• Physical examination

References

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