ASAP Syllabus/History and Physical
Physical Exam Maneuvers
[edit | edit source]Blumberg's Sign (Rebound Tenderness)
[edit | edit source]Deep abdominal palpation followed by sudden release of pressure causes severe pain indicating peritonitis. This is a result of peritoneal inflammation.
Rovsing's Sign
[edit | edit source]Pain in the right lower quadrant when pressure is applied in the left lower quadrant. This pain can be a result of peritoneal irritation as a result of an inflamed appendix.
Obturator Sign
[edit | edit source]Pain with passive rotation of the flexed right hip, which commonly presents in patients with a pelvic appendicitis. This pain is a result of an inflamed appendix in the pelvis coming in contact with the obturator internus muscle.
Psoas Sign
[edit | edit source]Pain on extension of the right hip (commonly presents in patients with retrocecal appendix) . This pain is a result of an inflamed retrocecal appendix coming in contact with the iliopsoas group of hip flexors.
| Authors | ASAP |
|---|---|
| License | CC-BY-SA-4.0 |
| Organizations | Global Surgical Training Challenge |
| Cite as | ASAP (2021–2025). "ASAP Syllabus/History and Physical". Appropedia. Retrieved June 4, 2026. |