• patient looks unwell

• flushed at first, then pale

• furred tongue and halitosis

• tenderness in RIF, usually at McBurney's point

• local rigidity and rebound tenderness

• ± superficial hyperaesthesia

• ± psoas sign: pain on resisted flexion of right leg, on hip extension or on elevating right leg (due to irritation of psoas especially with retrocaecal appendix)

• ± obturator sign: pain on flexing patient's right thigh at the hip with the knee bent and then internally rotating the hip (due to irritation of internal obturator muscle)

• Rovsing's sign: tenderness in RIF while palpating in LIF

PR: tenderness to right, especially if pelvic appendix or pelvic peritonitis.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

Get My Free Ebook

Post a comment