The Giordano manoeuvre is a manoeuvre used in medical semeiotics to investigate the presence of kidney pain; it is named after the physician Davide Giordano, who was active in the first half of the 1900s

How the Giordano manoeuvre is performed

• the patient is in a sitting position, with the trunk slightly flexed forward;
• the doctor stands behind the patient and, with the ulnar edge of his hand, strikes with a sharp blow the patient’s renal loggia, i.e. the point where the kidney is located, situated in the lumbar region;
• if this manoeuvre causes violent pain in the patient, the Giordano sign is called positive, otherwise it is called negative.

What does the positive Giordano sign indicate?

A positive Giordano’s sign indicates the probable presence of a kidney stone.

Is the Giordano sign sufficient to make a diagnosis?

No. As is often the case in semeiotics, the positive Giordano sign is an indication of diagnosis and is NOT sufficient on its own to make any precise diagnosis: the latter must in fact be investigated by continuing with diagnostic laboratory tests (haematochemical tests) and imaging tests (ultrasound, X-ray, etc.) that can avoid false positives and negatives.

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Source

Medicina Online