SIGNS
There
is a rise of temperature of upto one degree centigrade in
most cases.
*
There is tenderness at McBurney's
point (McBurney's
point on the line joining right
anterior superior iliac spine
to umbilicus, junction of lateral to medial 2/3).
*
There is rebound tenderness (pressure applied away from R.I.F.
pain on release of pressure).
*
The positive Rovsing sign (pressure applied to LIF
pain felt in RIF).
*
Palpation of the right iliac
fossa may reveal resistance in
the form of
guarding which may leter be
converted to a
rigidity because of constant contraction of the abdominal
muscle overlying the inflamed organs.
The position of the appendix may
produce slight variation in the
signs .
*
In retrocaecal appendix the
tenderness may be more marked in
the flank.
*
Obturator sign is positive in patients with inflamed appendix
close the obdurator internus, and they get
pain on stretching
of obdurator internus .
*
The Psoas sign is positive when the appendix lies close to the
Psoas muscles and patient gets
pain on hyperextension of the
hip
*
When the appendix is lying in the
pelvix, tenderness is felt
in the pouch of Douglas on rectal examination.
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