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Rovsing's sign, named after the Danish surgeon Niels Thorkild Rovsing (1862–1927), [1] is a sign of appendicitis. If palpation of the left lower quadrant of a person's abdomen increases the pain felt in the right lower quadrant, the patient is said to have a positive Rovsing's sign and may have appendicitis.
McBurney's point is named after American surgeon Charles McBurney (1845–1913). [1] [6] McBurney himself did not locate his point in a precise way in his original article.The seat of greatest pain, determined by the pressure of one finger, has been very exactly between an inch and a half and two inches from the anterior spinous process of the ilium on a straight line drawn from that process ...
McBurney's point: Charles McBurney: surgery: appendicitis: 2/3 of the way lateral on a line from umbilicus to anterior superior iliac spine (corresponds to junction of vermiform appendix and cecum) McConnell's sign: M.V. McConnell: cardiology: pulmonary embolism
The term "appendicitis" was coined by the American physician Reginald Heber Fitz in 1886, leading to standardized diagnosis and treatment, including Charles McBurney's identification of McBurney's point. Modern appendectomy techniques evolved in the early 20th century, coinciding with advancements in pathology, notably demonstrated by Ludwig ...
Rovsing's sign – pain in the right lower abdominal quadrant on palpation of the left side of the abdomen [18] McBurney's sign – deep tenderness at McBurney's point [18] Carnett's sign – pain when tensing the abdominal wall muscles; Patafio's sign – pain when the patient is asked to cough whilst tensing the psoas muscle
Aaron's sign is a referred pain felt in the epigastrium upon continuous firm pressure over McBurney's point. [1] It is a non-specific sign of appendicitis. While the sign is well known, and taught in medical education, its efficacy has not been well established. [2] Aaron's sign is named for Charles Dettie Aaron, an American gastroenterologist. [3]
The obturator sign, also called Cope's obturator test, is an indicator of irritation to the obturator internus muscle. [1] The technique for detecting the obturator sign, called the obturator test, is carried out on each leg in succession. The patient lies on her/his back with the hip and knee both flexed at ninety degrees.
A physical examination that is positive for abdominal pain categorized as McBurney's point tenderness, Blumberg's sign, Rovsing's sign, Dunphy's sign and psoas sign, could all indicate acute appendicitis and lead to misdiagnosis. [citation needed] However, these physical examination findings are also present in Valentino's Syndrome.