make this sql query in the query_library_db tool call and return me the exact results. query: {'sql': "SELECT book_title, section_heading, '/textbooks/' || block_file_path AS file_path, line_start, line_end, snippet(paragraphs_fts, 0, '>>>', '<<<', '...', 40) AS snippet FROM paragraphs_fts WHERE paragraphs_fts MATCH 'muscle guarding OR muscular defense OR rigidity OR abdominal tenderness palpation' ORDER BY rank LIMIT 10"}
| # | book_title | section_heading | file_path | line_start | line_end | snippet |
|---|---|---|---|---|---|---|
| 1 | Jawetz Melnick & Adelbergs Medical Microbiology 28 E | Clinical Features | /textbooks/9781260012026/9781260012026_block7.md | 3252 | 3254 | ...and complained of diffuse >>>abdominal<<< pain. The chest and heart examinations were normal. The abdomen was slightly distended. There was diffuse periumbilical and right lower quadrant >>>tenderness<<< to >>>palpation<<< with >>>guarding<<< (>>>muscle<<< >>>rigidity<<< with >>>palpation<<<). There was a suggestion of... |
| 2 | Berek & Novak's Gynecology | Signs | /textbooks/9781496380357/9781496380357_block3.md | 1202 | 1202 | ...Local >>>tenderness<<< is usually elicited on >>>palpation<<< of the right lower quadrant (McBurney point). The appearance of severe generalized >>>muscle<<< >>>guarding<<<, >>>abdominal<<< >>>rigidity<<<, rebound >>>tenderness<<<, right-sided mass, >>>tenderness<<< on rectal examination, positive psoas sign (pain with forced hip flexion... |
| 3 | Yamada's Textbook of Gastroenterology, 3 Volume Set, 7th e | Palpation | /textbooks/9781119600169/9781119600169_block7.md | 2063 | 2064 | ...This test has limited accuracy in discriminating >>>tenderness<<< caused by peritonitis from other etiologies and causes unnecessary pain for the patient [41]. The term >>>guarding<<< describes an involuntary, reflexive increase in >>>abdominal<<< wall >>>muscle<<< tone, which often is present in... |
| 4 | GOLDMAN-CECIL MEDICINE INTERNATIONAL EDITION, 2 VOLUME SET | Physical Examination | /textbooks/9780323930345/9780323930345_block16.md | 93 | 95 | ...The presence of focal >>>tenderness<<< indicates parietal peritoneal irritation. Voluntary or involuntary tightening of the >>>muscle<<< wall (">>>guarding<<<") may occur during >>>palpation<<<. With gentle, steady compression of the abdomen with one hand, voluntary >>>guarding<<< usually subsides, allowing the examination to... |
| 5 | GOLDMAN-CECIL MEDICINE INTERNATIONAL EDITION, 2 VOLUME SET | Abdominal Examination | /textbooks/9780323930345/9780323930345_block15.md | 3609 | 3611 | ...Gentle, light >>>palpation<<< promotes >>>abdominal<<< relaxation and allows the detec- tion of >>>muscle<<< resistance (>>>guarding<<<), >>>abdominal<<< >>>tenderness<<<, and superficial |
| 6 | Sleisenger and Fordtran's Gastrointestinal and Liver Disease | History and Physical Examination | /textbooks/9780323609623/9780323609623_block8.md | 3169 | 3172 | ...Voluntary guarding in the presence of mild >>>tenderness<<< may be misinterpreted as >>>rigidity<<< by the inexperienced examiner if the patient is anxious and >>>palpation<<< too vigorous. It is usually not necessary to check for rebound >>>tenderness<<< to >>>palpation<<< if rebound... |
| 7 | The Harriet Lane Handbook - The Johns Hopkins Hospital, 23rd e | 3. Diagnosis: | /textbooks/9780323876988/9780323876988_block2.md | 5287 | 5293 | ...>>>Abdominal<<< >>>tenderness<<< on >>>palpation<<<, rebound/guarding, >>>rigidity<<<, masses, distention, or abnormal bowel sounds, rectal examination with stool hemooccult testing, pelvic examination (discharge, masses, adnexal/cervical motion >>>tenderness<<<), and genital examinations TABLE 12.2 |
| 8 | Tintinalli's Emergency Medicine A Comprehensive Study | HISTORY AND PHYSICAL EXAMINATION | /textbooks/9781260019933/9781260019933_block6.md | 1902 | 1907 | ...Peritoneal irritation is suggested by >>>rigidity<<< (involuntary guarding or reflex spasm of >>>abdominal<<< muscles), as is pain referred to the point of maximum >>>tenderness<<< when palpating an adjacent quadrant. Rebound >>>tenderness<<<, often regarded as the sine qua non for peritonitis... |
| 9 | Sabiston Textbook of Surgery The Biological Basis of Modern Surgical Practice | Physical Examination | /textbooks/... (truncated by system) | — | — | (truncated) |
Note: Row 9 (Sabiston Textbook of Surgery) and a possible row 10 were cut off by the system's output length limit. The query returned up to 10 rows, but the tail end was truncated. If you need the full content of the remaining rows, I can run a follow-up query withOFFSET 8to retrieve them.