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The obturator sign involves RLQ pain on passive internal rotation of the hip while the patient is in the supine position. The pain is caused by irritation of the obturator internus muscle from the inflamed appendix.
best signs for ruling in acute appendicitis in adults. Absent or decreased bowel sounds, a positive psoas sign, a positive obturator sign, and a positive Rovsing sign are most.
The obturator sign indicates the presence of an inflamed pelvic appendix. Evidence shows that the obturator test does not adequately diagnose appendicitis, but can be used in conjunction with other signs and symptoms to make a diagnosis.
In addition, an obturator sign (pain on passive internal rotation of the flexed right thigh) may be present in a patient with a pelvic appendix 3 (Figures 2a and 2b). The differential diagnosis...
Appendicitis is acute inflammation of the vermiform appendix, typically resulting in abdominal pain, anorexia, and abdominal tenderness. Diagnosis is clinical, often supplemented by CT or ultrasound. Treatment is surgical removal of the appendix.
Appendicitis is characterized by inflammation of the vermiform appendix and typically presents acutely within 24 hours. However, the presenting symptoms may be more indolent and less severe in cases with perforation with a contained abscess.
Obturator sign is a clinical sign of acute appendicitis, it is defined as discomfort felt by the subject/patient on the slow internal movement of the hip joint, while the right knee is flexed. It indicates an inflamed pelvic appendix that is in contact with the obturator internus muscle 1-3.