Ortner-Grekov's symptom is manifested in diseases that are associated with the liver or biliary tract. Most often it is observed in acute cholecystitis. The symptom is characterized by some soreness on the right side with a slight tapping of the edge of the palm on the right along the costal arch. It is mandatory to perform tapping on both sides in order to compare and determine with accuracy the symptom of Ortner-Grekov. The pain occurs due to the fact that the doctor produces a slight concussion of the inflamed gallbladder. Under normal conditions, patients sometimes may not feel pain, feeling only some heaviness on the right side under the ribs.
Acute cholecystitis
Acute cholecystitis, according to statistics, is diagnosed in 18% of patients who have acute surgical diseases of the abdominal cavity. Women are three times more likely to have it. There are a lot of reasons for the occurrence of this disease, as well as chances to fully experience the symptom of Ortner-Grekov. These include:
- hypertension in the biliary tract;
- infection in them;
- changes in the vessels of the biliary tract;
- violation of the diet;
- cholelithiasis;
- decrease in nonspecific resistance of the body;
- diseases of the stomach, which may be accompanied by dyscholia;
- morphological problems (for example, with the liver - the development of hyperbilirubenemia).
Almost 90% of cases of exacerbation of the disease are most often the result of a complication of gallstone disease. At 100%, the nutritional factor (diet) is the trigger. Fatty and spicy foods, allergens can lead to such a disease. All this develops a spasm, which determines the Ortner-Grekov symptom. But the diagnosis should only be made by a doctor.
Diseases that provoke cholecystitis
We've already covered problems with gallstones and diet. It is worth talking about some other diseases that lead to problems with the gallbladder. For example, gastritis, which may be accompanied by a decrease in the production of gastric juice and especially hydrochloric acid, also sometimes leads to the fact that during diagnostic measures a positive Grekov-Ortner symptom is detected, which sometimes leads to an incorrect diagnosis.
Determination of the disease and its degree
The stage of development of the disease depends to a greater extent on what changes have occurred in the gallbladder, how much the process has started, whethercomplications. In the case of the latter, not only a positive symptom of Ortner-Grekov is characteristic, but irradiation of pain in the shoulder, shoulder blade, supraclavicular region is also observed.
Other symptoms
Among the accompanying symptoms of acute cholecystitis are nausea, vomiting with bile, bitterness in the mouth, dull pain syndrome at the initial stage and its progression with the development of the disease. Body temperature can rise to 38 degrees with the presence of chills. There is an increase in heart rate, in some cases, tachycardia occurs. Jaundice may also appear. The tongue becomes dry and coated. All treatment must be prescribed by a doctor. Advanced cholecystitis can cause comorbidities with subsequent failure of the affected organs.
