Symptom Rozanov (symptom "vanka-vstanka"): description, causes and diagnosis

Russian medicine is being improved thanks to the works of scientists and physicians. Thus, during the Soviet Union, the outstanding medical scientist Rozanov Vladimir Nikolayevich, who was born in 1872, was given the same name to the medical term - a symptom of Rozanov.

The second cause of the cause-and-effect manifestations of the disease received this: a symptom of "vanka-vstanka".

What it is

Rozanov's symptom is a manifestation of internal peritoneal accumulation of blood in the event of a ruptured tissue of the spleen. There are signs of this symptom exclusively in surgery.

Symptom Rozanov (symptom "vanka-vstanka"): signs

• Mobility of the body - a constant change of position.
• Yellowness and pallor of the skin. Increased bleeding, accumulation of blood in the abdominal cavity gives the face a pale yellow color, indicating a loss of blood.
• The patient often has a temperature increase of 37-38 degrees.
• Pain in the center of the abdomen, with recoil into the region of the spleen.

The patient, who is being diagnosed and treated, constantly maintains the following position: lying on his side, exclusively left, with both legs pressed to the bottom of the abdomen. When attempts are made to change the patient's position, he again takes a few seconds back, lying on his left side with his legs pressed to the abdomen.

Another manifestation of the symptom, due to which he received the name "vanka-vstanka" is the heaviness of breathing. Initially, with severe dyspnea, the patient tries to sit down and press his hands to the stomach, but squeezing the diaphragm makes breathing even more difficult. Then the patient gets up and tries to walk. But this position also begins to bring inconvenience.

Then he takes a horizontal position, because of pain in the peritoneum, lying on his back. In such cases, dyspnea is worse and he gets up. Such constant changes in the position of the body led to the name - a symptom of Rozanov ("Vanka-vstanka").

At sharp movements, especially if the patient was sitting, and then gets up, he has a pre-patchy condition. This is another reason why he lies down again. The choice of the left side is due to the location of the spleen in the abdominal cavity.

Symptom Rozanov (symptom "vanka-vstanka"): the reasons

As mentioned above, Rozanov's symptom is the consequences of a rupture of the spleen, but it is necessary to disassemble, in what situations can this happen:

- Injuries resulting from car accidents. The specificity of car accidents, when the driver beats the abdominal cavity about the steering wheel, flies out of the cabin, etc.

- Sports injuries. Large physical activity during sports activities can lead to rupture of internal organs.

- Lifting weights, efforts incompatible with the resources of the body, also lead to the rupture of internal organs

- Koloto-cutting wounds of the abdominal region can lead to rupture of the spleen.

Given the specificity of the trauma, the primary suspicion appears after the patient articulates the circumstances of what happened to him. Further under the supervision of a doctor. Also, if there were no other injuries, the patient may consult a doctor a little later, for example, a gastroenterologist because of abdominal pain.

The doctor asks the patient to first draw in the abdominal muscles, then relax. In the event that there is a symptom of Rozanov (a symptom of "vanka-vstanka"), the patient experiences severe pain due to the effect on the stomach.

Basic diagnostic methods

The symptom of "vanka-vstanka" is diagnosed as follows:

• Interrogation of the patient.
• Visual examination, palpation of abdomen from the outside.
• Rectal and vaginal examination.
• Ultrasound of the abdominal cavity.
• Investigation of blood tests.
• Research of laboratory tests.

Basic rules for the doctor in determining the symptoms of Rozanov

Do not ask direct questions that determine the symptoms. For example, the question: "Do you feel sharp pains in the lower abdomen?" It is better to ask: "What are your feelings now?" It is important to hear from the patient a detailed description of the sensations he experiences.

Palpation of the abdomen is always very painful in such cases. Therefore, it is better to start it from the surrounding painful point of the area, slowly moving towards it.

When examining the abdomen, it is necessary to press on the entire perimeter to study the opposite and upper from the bottom wall of the peritoneum.

After examination and diagnosis of the symptom of Rozanov ("vanka-vstanka"), the primary manifestations are removed due to analgesic drug therapy. The second stage is a cavitary surgical operation.

Accompanying moments

The symptom of "vanka-vstanka" is typical for intra-abdominal bleeding due to rupture of the spleen. Often due to additional diseases, the symptom of Rozanov and the rupture of the spleen itself is difficult to determine. Together with the rupture of the spleen, ruptures of the tissues of other organs of the abdominal region can be diagnosed. For example, damage to the liver, large intestine, stomach, etc.

These injuries can also cause bleeding, blood accumulation in the abdominal area. To exclude other diseases, extensive complex diagnosis is performed.

The patient is examined by a number of doctors:

• Therapist - for referral to a number of other specialists.
• Gynecologist - to exclude rupture of the ovaries, which can also cause intra-abdominal bleeding
• Proctologist - to exclude intestinal diseases with surgical symptoms: in the intestine, rectum.
• Urologist - to exclude damage to the genitourinary system.
• Gastroenterologist to exclude the fact of gastric bleeding.

The patient undergoes a series of physician-appointed examinations, after which a recommendation is made for surgical intervention if a positive symptom of "vanka-vstanka" is diagnosed.

Initially, when examined by ultrasound, due to the large accumulation of blood in the abdominal region, the internal organs are poorly visualized, which complicates the diagnostic process. In connection with these, they act by the method of exclusion and examine each organ separately.

Thanks to laboratory and clinical analysis of blood determine the inflammatory process in the body.

Postoperative condition

After the surgical intervention to treat the rupture of the spleen, Rozanov's symptom does not show itself. The patient no longer experiences those feelings that forced him to change his position all the time.

After surgery, the patient is prescribed medication. Assign a number of antibiotics, as well as medications that increase the level of immunity. Nonsteroid pain medications are also prescribed. They give recommendations on healthy diet according to a certain type of diet.

Actions in case of suspicion of Rozanov's symptom in everyday life

It is important to remember that the symptom of "vanka-vstanka" is typical for damage to the spleen. If the patient experiences discomfort, constantly lays down and rises, experiences pain in the abdominal area, the following measures should be taken:

- Measure the patient's temperature and fix it.

- Provide the patient with comfortable conditions for horizontal position.

- Do not give alone pain medication.

- Emergency call an ambulance or take the patient to the emergency room of the nearest medical institution.

The patient should tell the doctor in detail, under what circumstances he began to experience pain, how long the temperature lasts and what he experiences, etc.

Precautionary measures

Do not lift weights more than 15 kg yourself. Internal organs are very sensitive, and abrupt movements in the process of lifting weights can lead to their rupture. It is better to wait and attract more people for precaution.

If a person with a stabbing-cutting wound is found in the abdominal cavity area, apply a sterile bandage to the wound and immediately provide transportation for medical care. If it is a question of victims of a car accident found by other drivers on the road, it is urgent to inform the law enforcement authorities about the presence of the patient.

Giving help

Since the symptom of Rozanov (a symptom of "vanka-vstanka") is a sign of intraperitoneal bleeding when a spleen ruptured, it must be borne in mind that intra-abdominal bleeding does not manifest itself immediately. The patient begins to experience the slightest discomfort, then feels a swelling in the abdomen. The abdomen becomes hard and heavy.

Then beginning to manifest first pressing pain, with sudden movements and loads on the abdominal cavity intensifying. There are pains in the region of the spleen, giving to the region of the entire abdominal cavity. Then the temperature begins to rise. Keeps the temperature constantly around 37-38 degrees.

Skin covers of the patient take a yellowish-cyanotic color due to a strong loss of blood. He experiences weakness, muscle pain, nausea and dizziness. May briefly lose consciousness. Moves with difficulty, movements slow down, pains increase in increasing.

It is necessary in such cases to immediately apply for medical assistance. Otherwise, there may be irreversible consequences, up to a lethal outcome. In the abdominal cavity can begin a deep inflammatory and infectious process, which leads to the development of other diseases. The situation may become more complicated, and it will be too late for surgery.

In this regard, when entering patients with suspected internal bleeding, doctors conduct an immediate diagnosis and diagnosis. Sometimes minutes can play a decisive role. The question of treatment is just as acute as diagnosis. When manifestations of the symptom of Rozanov diagnosis and treatment can be carried out urgently on the same day.

Contribution to medicine

The contribution of the medical scientist Rozanov to the field of medicine is huge. The symptom that he discovered and the method of examination is applied by medicine today.

To determine and diagnose the rupture of the spleen, as well as the subsequent intraperitoneal bleeding, use a complex of certain symptoms. The symptom of "vanka-vstanka" is described in the educational literature for students of medical colleges and institutes. This is an invaluable contribution to Russian science and national medicine, which is also important today.