From Big Medical Encyclopedia

FRYoNIKUS-SIMPTOM [lat. (nervus) of phrenicus phrenic nerve; lat. symptoma sign, symptom; a synonym Georgiyevsky's symptom — M yus-

the SI] — morbidity at a palpation in the right supraclavicular area of m a hedgehog d at a leg mi r at d the monk of l yuch an ichno-mastoidal muscle; most often is a sign of inflammatory process in subphrenic or subhepatic space, especially in a gall bladder. T. - the page can be positive also at irritation blood and air of a peritoneum of the right subcostal area (see I eat operas and tone eum, P N evm operas and t it e-

mind) and acute diseases of the abdominal organs which are located in this area (see. Acute abdomen). Positive F. - page at blowing off fallopian (uterine, T.) pipes (see Perth a bation) is a sign of their passability.

Emergence F. - the page is caused by an arrangement and branching of the right phrenic nerve. Departing from a cervical plexus, the right phrenic nerve goes down a front surface of a front scalene, being located lengthways grudino - a clavicular and mastoidal muscle and between her legs. Nek-rye from its final branches (phrenic and belly branches) is anastomosed with a phrenic sympathetic texture, give branches to a peritoneum of a dome of a diaphragm, a liver and gall bladder, ligaments of a liver and other bodies. In a phrenic nerve sensitive fibers prevail, on the Crimea and the painful impulses arising at acute inflammatory process in the field of subphrenic or subhepatic space are transferred.

In differential diagnosis of diseases, at to-rykh this symptom happens positive, it is of secondary importance. However existence positive F. - the village demands a further careful research of the patient for establishment of the reasons of emergence of this symptom.

G. A. Pokrovsky.