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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.

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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.

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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.

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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.

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Part of ASAP
Keywords appendicitis, surgery, medical courses, right lower quadrant pain
SDG SDG03 Good health and well-being
Authors Manisha
License CC-BY-SA-4.0
Organizations Global Surgical Training Challenge
Language English (en)
Related 0 subpages, 2 pages link here
Impact 332 page views
Created August 10, 2021 by Manisha
Modified January 29, 2024 by Felipe Schenone
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