Appendicitis Signs

Question 1

Referred pain/distress in epigastrium on continued firm pressure over McBurney point

Answer 1

Aaron sign

Question 2

Pinching appendix between thumb and iliacus muscle

- Chronic AP

Answer 2

Bassler

Question 3

Transient abdominal wall rebound tenderness

Answer 3

Blumberg

Question 4

Exacerbation of pain when uterus is shifted to the right (pregnant)

Answer 4

Bryan

Bryan sign

• ecchymosis on scrotum
• liver cirrhosis

Question 5

Pain on coughing

Answer 5

Dunphy

Question 6

Migration of pain from ubilicus to RLQ

Answer 6

Kocher (Kosher)

Question 7

RLQ pain on dropping from standing on toes to heel

Answer 7

Markle

Question 8

Grimace when firm swish with index and middle finger across abdomen from epigastrium to right iliac fossa

Answer 8

Massouh

Question 9

RLQ tenderness when moves from supine to recumbent on left side

Answer 9

Rosenstein

Question 10

Pain at RLQ when palpated on LLQ

Answer 10

Rovsing

Question 11

Pain by gentle traction on right spermatic cord

Answer 11

Ten horn

Question 12

Increased muscle tone on exceedingly gentle palpation of right iliac fossa
- early appendicitis

Answer 12

Summer

Question 13

Patient lies on left side. Exten right thigh stretching iliopsoas muscle

(+) pain on extension

Answer 13

Iliopsoas

Question 14

Passive internal rotation of flexed right thigh

(+) pain on stretching obturator internus muscle

Answer 14

Obturator