Surgery Book


Carnett's Sign

Aka: Carnett's Sign, Carnett Sign
  1. Indication
    1. Acute Abdominal Pain Evaluation
    2. Chronic Abdominal Pain Evaluation
    3. Chronic Pelvic Pain evaluation
  2. Technique
    1. Patient lies supine
    2. Clinician identifies maximal point of abdominal tenderness
    3. Patient tenses abdominal wall
      1. Patient crosses their arms over the chest
      2. Lifts head off table
      3. Lifts Shoulders off table
      4. May also lift both legs off table simultaneously
  3. Interpretation
    1. Intra-Abdominal Pain source (Negative Carnett's Sign)
      1. Abdominal Pain decreases with tensing Abdomen or when examiner palpates Abdomen
      2. Suggests deeper, visceral pain
    2. Abdominal Muscle Wall Pain (Positive Carnett's Sign)
      1. Pain increases or remains unchanged with tensing Abdomen or when examiner palpates Abdomen
      2. Suggests Myofascial Pain source (Trigger Point, nerve entrapment, Hernia, Myositis)
  4. References
    1. Thomson (1977) Lancet 2(8047):1053-4 [PubMed]

You are currently viewing the original '\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree