Appendicitis

Question 1

Sign’s for appendicitis

Answer 1

McBurney’s Sign, Rovsing’s Sign, pointing sign, cough rebound, precussion rebound.

Question 2

Psoas sign & Psoas test

Answer 2

indicates irritation to the iliopsoas group of hip flexors in abdomen - indicates that the inflamed appendix is retrocaecal ino orientation (iliopsoas is retroperitoneal)
Psoas test - passive extension of thigh if patient is lying on side with knees extended or ask patient to actively flex thigh at hip.
Check test in Talley and O’Connor

Question 3

Obturator sign & Obturator test

Answer 3

Performed with acute appendicitis is suspected. Inflammation and enlargment of the appendix may cause contact with the obturator internus muscle which is stretched when the manoeuver is performed on the right leg
Test: when pt is on their back, the hip and knee are both flexed to 90degrees, the knee is passively moved inward and the ankle is moved passively away from the body.

Question 4

McBurney’s point

Answer 4

McBurney’s point is 1/3rd lateral between the anterior superior iliac spine and the umbilicus. Roughly corresponds to the most common location of the base of the appendix where it is attached to the caecum.

Question 5

Rovsing’s sign

Answer 5

Palpation of the left lower quadrant of a person’ abdomen increases the pain felt in the right lower quadrant - positive Rovsing’s sign and may have appendicitis.

Distant palpation, local tenderness

Question 6

McBurney’s sign

Answer 6

Patient reacting to severe pain and extreme tenderness when McBurney’s point is palpated