Appendicitis

Question 1

What quadrant does appendicitis occur?

Answer 1

RLQ

Question 2

What is the diagnostic test used to confirm appendicitis?

Answer 2

CT scan

Question 3

What are symptoms of appendicitis?

Answer 3

Anorexia
nausea and vomiting
low-grade fever
right lower quadrant pain
rebound tenderness
guarding
peri-umbilical pain (McBurneys point) radiate to mid back

Question 4

When is appendicitis an emergency?

Answer 4

Appendix rupture: symptoms are acute guarding, board like abdomen

Question 5

What is the Rovsing sign?

Answer 5

Think “reverse” “right”
palpate the left lower quadrant (LLQ) and there will be pain in the right lower quadrant (RLQ)

Means appendicitis

Question 6

What is the Markle sign?

Answer 6

“Heel drop test”
*megan markle wears heels

Patient stands on toes and drops down suddenly pain in the right lower quadrant (RLQ)
Patient can also hop on one foot

Means appendicitis.

Question 7

What is the blumberg sign?

Answer 7

Rebound tenderness

When pressure is applied to the abdomen and then released pain will occur.

Means appendicitis

Question 8

What is mcburneys point?

Answer 8

If pain occurs 2/3 distance from anterior superior iliac spine to the umbilicus

Means appendicitis

Question 9

What is the obturator sign?

Answer 9

Pain in RLQ when the right thigh is flexed and internally rotated

Means appendicitis

Question 10

What is the psoas sign?

Answer 10

Patient lying supine and raising right leg agianst resistance.

means appendicitis
Also known as iliopsoas sign