![]() (…) always considered it one of his principal tasks to support the unification of the medical practice as opposed to the ever-increasing division into special branches, thus favoring the idea of allotting to the general practitioner the entire domain of medicine. 9 A Rose, MD (1907) described him as one whom: 8 He also described the findings of vocal cord paralysis after partial or complete paralysis of the recurrent laryngeal nerve. 7 Using these skills, he developed the first animal model for endocarditis in 1887 and was the first, along with Karl Koester, to recognize the relationship that abnormalities of the cardiac valves predispose to the development of this disease. He authored the book Über musikalische Herzgeräusche-Nebst Bemerkungen über die Entstehung pseuddokardialer Geräusche ( About Musical Heart Noises-Along with Remarks on the Origin of Pseudo-Cardiac Noises) describing the pathophysiology of heart murmurs based on his clinical experience, postmortem investigation, and experimental research. 5, 6 Rosenbach published 278 books, monographs, treatises, and papers, and among his many accomplishments, he was first to recognize functional disease of the stomach. He served as head physician at Breslauer Allerheiligen Hospital from 1887 until 1893 and moved his medical practice to Berlin in 1896, further allowing him to pursue his research interests and scientific work. 5 He was an assistant from 1874 to 1887 at the University Hospital in Jenna in the medical hospital and dispensary. Ottomar Ernst Felix Rosenbach (1851–1907) was born in Krapkowice, Schlesien Prussian County in Silesia, completed his medical studies in Breslau and Berlin, and received his medical degree in Breslau in 1874. The signs are presented systematically based on the year they were originally described. ![]() Presented are brief historical aspects, performance, clinical application, and implication of these signs. 4 This paper describes medical eponyms associated with palpation of the abdomen. To localize an area of tenderness, gentle systematic palpation of the abdomen using the index finger is employed. Deep palpation using the flexor surface of the fingers with the hand tilted at a slight angle is particularly useful for detecting and evaluating a mass and is performed using a one hand or two hand technique. 3 Superficial palpation for detecting spasm of the recti muscle is identified using a two-hand technique whereby the flexor surface of the fingers of the left hand are in contact with the muscle and depressed with the right hand. Superficial palpation focuses on detecting abnormalities within the abdominal wall, feeling for crepitation, masses, spasms or eliciting tenderness. 2 Using the dorsum of the hand, palpation is able to detect changes in skin temperature and texture it is performed using both superficial and deep techniques. Palpation uses the flat flexor surface of the fingers with the forearm maintained in a strict horizontal position, feeling for abnormalities in the abdomen such as tenderness, consistency, induration, and detecting depth and fixation of organs, hematomas, and abscesses. ![]() Auscultation precedes palpation in the abdomen due to concerns related to stimulation of bowel movement, thereby falsely enhancing bowel sounds. 1 It is the third skill performed in the systematic sequence of the physical examination preceded by inspection and auscultation and followed lastly by percussion. Palpation, or the Latin verb palpates, meaning to touch, is a tactile sensation and an important but often overlooked part of the physical examination of the abdomen.
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