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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.


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.

FA info icon.svgAngle down icon.svgPage data
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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