Appendicitis physical examination: Difference between revisions
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** If an inflamed [[appendix]] is in contact with the [[obturator internus]], spasm of the muscle can be demonstrated by flexing and internally rotating the hip. | ** If an inflamed [[appendix]] is in contact with the [[obturator internus]], spasm of the muscle can be demonstrated by flexing and internally rotating the hip. | ||
** This maneuver will cause pain in the [[hypogastrium]] | ** This maneuver will cause pain in the [[hypogastrium]] | ||
==Other== | |||
* A digital rectal examination elicits tenderness in the [[rectovesical pouch]] in special cases of appendicitis | |||
** In case of a retrocaecal appendix even deep pressure in the right lower quadrant may fail to elicit tenderness | |||
** If the appendix lies entirely within the pelvis, there is usually complete absence of the abdominal rigidity |
Revision as of 16:49, 14 August 2012
Appendicitis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Appendicitis On the Web |
American Roentgen Ray Society Images of Appendicitis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Vital Signs
Temperature
- A fever may be present
Abdomen
- Abdominal wall very sensitive to mild palpation.
- Rebound tenderness
- Abdominal guarding
- Rovsing's sign
- Deep palpation of the left iliac fossa may cause pain in the right iliac fossa
- Psoas sign
- Occasionally, an inflamed appendix lies on the psoas muscle and the patient will lie with the right hip flexed for pain relief.
- Obturator sign
- If an inflamed appendix is in contact with the obturator internus, spasm of the muscle can be demonstrated by flexing and internally rotating the hip.
- This maneuver will cause pain in the hypogastrium
Other
- A digital rectal examination elicits tenderness in the rectovesical pouch in special cases of appendicitis
- In case of a retrocaecal appendix even deep pressure in the right lower quadrant may fail to elicit tenderness
- If the appendix lies entirely within the pelvis, there is usually complete absence of the abdominal rigidity