Appendicitis

Question 1

What is Appendicitis?

Answer 1

Inflammation of the Appendix, can lead to peritonitis

Question 2

Pain referral pattern?

Answer 2

Pain in RLQ

“AC”

Question 3

Signs and Symptoms

Answer 3

• N/V
• Anorexia
• Leukocytosis
• Fever

Question 4

Special Tests?

Answer 4

• Rovsing’s Sign
• Obturator Sign
• Psoas Sign
• Blumberg Sign (McBurney’s Point)
• Pinch-an-inch

Question 5

What is Rovsing’s Sign?

Answer 5

Palpation of the LLQ reproduces pain in the RLQ

Question 6

what is Psoas Sign?

Answer 6

Pain felt with resisted hip flexion.

Question 7

What is Obturator Sign?

Answer 7

Pain felt with passive IR

Question 8

What is Blumberg Sign?

Answer 8

Rebound tenderness, pain felt on release

Question 9

What is the Pinch-an-Inch test? What can this also be indicative of when done in another quadrant?

Answer 9

(+) when performed on LLQ for Diverticulitis

Pinch skin and pull away from peritoneum, pain felt on recoil on release