Tenderness to Palpation Grading Scheme

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Grade 4

Withdrawal (and jump sign) to non-noxious stimuli (superficial palpation, pin prick, gentle percussion)

Grade 0

No tenderness

Grade 2

Tenderness WITH grimace and/or flinch to palpation

Grade 1

Tenderness to palpation WITHOUT grimace or flinch

Grade 3

Tenderness with WITHDRAWAL (jump sign)


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