Appendicitis physical examination: Difference between revisions
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(Created page with "{{Appendicitis}} {{CMG}} ==Overview== ==Vital Signs== ===Temperature=== * A fever may be present ==Abdomen==") |
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__NOTOC__ | |||
{{Appendicitis}} | {{Appendicitis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{FH}} | ||
==Overview== | ==Overview== | ||
Patients with acute appendicitis usually appear in pain and distress. Physical examination of patients with appendicitis is usually remarkable for fever and mild [[tachycardia]]. Even minimal pressure on the [[abdomen]] can elicit a marked pain to patient. | |||
== | ==Physical Examination== | ||
=== | ===Vitals=== | ||
* | *[[Fever]] | ||
*[[Tachycardia]] | |||
*[[Hypotension]] | |||
*[[Tachypnea]]<ref>Hardin, M. Acute Appendicitis: Review and Update. ''Am Fam Physician".1999, Nov 1;60(7):2027-2034''</ref> | |||
==Abdomen== | ===Skin=== | ||
*[[Diaphoresis]] | |||
*[[Pallor]] | |||
===Abdomen=== | |||
* The abdominal wall is very sensitive to mild palpation. | |||
* [[Rebound tenderness]] | |||
* [[Abdominal guarding]] | |||
* [[Rovsing's sign]] | |||
* [[Psoas sign]] | |||
*[[Obturator sign]]<ref>{{Citation | |||
| last1 = Stockman III | |||
| first1 = James A. | |||
| lastauthoramp = yes | |||
| title = Year Book of Pediatrics 2012 | |||
| publisher = Mosby | |||
| place = Maryland Heights, MO | |||
| edition = 2012 | |||
| year = 2012 | |||
}}</ref> | |||
* A digital rectal examination elicits tenderness in the [[rectovesical pouch]] in special cases of appendicitis. | |||
==References== | |||
{{Reflist|2}} | |||
{{WH}} | |||
{{WS}} | |||
[[Category:Emergency medicine]] | |||
[[Category:Surgery]] | |||
[[Category:Gastroenterology]] | |||
Latest revision as of 20:27, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Patients with acute appendicitis usually appear in pain and distress. Physical examination of patients with appendicitis is usually remarkable for fever and mild tachycardia. Even minimal pressure on the abdomen can elicit a marked pain to patient.
Physical Examination
Vitals
Skin
Abdomen
- The abdominal wall is very sensitive to mild palpation.
- Rebound tenderness
- Abdominal guarding
- Rovsing's sign
- Psoas sign
- Obturator sign[2]
- A digital rectal examination elicits tenderness in the rectovesical pouch in special cases of appendicitis.