Appendicitis physical examination: Difference between revisions
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==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== | ==Physical Examination== | ||
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* [[Abdominal guarding]] | * [[Abdominal guarding]] | ||
* [[Rovsing's sign]] | * [[Rovsing's sign]] | ||
* [[Psoas sign]] | * [[Psoas sign]] | ||
*[[Obturator sign]]<ref>{{Citation | *[[Obturator sign]]<ref>{{Citation | ||
| last1 = Stockman III | | last1 = Stockman III | ||
| Line 35: | Line 33: | ||
| edition = 2012 | | edition = 2012 | ||
| year = 2012 | | year = 2012 | ||
}}</ref> | }}</ref> | ||
* A digital rectal examination elicits tenderness in the [[rectovesical pouch]] in special cases of appendicitis. | * A digital rectal examination elicits tenderness in the [[rectovesical pouch]] in special cases of appendicitis. | ||
==References== | ==References== | ||
Revision as of 18:14, 10 January 2018
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Appendicitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Appendicitis On the Web |
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American Roentgen Ray Society Images of Appendicitis |
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
- Fever
- Tachycardia
- Hypotension
- Tachypnea
- Breathing patterns may be altered by patient to compensate for abdominal pain.[1]
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.