History and Physical

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Physical Exam Maneuvers

Blumberg's Sign (Rebound Tenderness)

Deep abdominal palpation followed by sudden release of pressure causes severe pain indicating peritonitis. This is a result of peritoneal inflammation.

Rovsing's Sign

Pain in the right lower quadrant when pressure is applied in the left lower quadrant. This pain can be a result of peritoneal irritation as a result of an inflamed appendix.

Obturator Sign

Pain with passive rotation of the flexed right hip, which commonly presents in patients with a pelvic appendicitis. This pain is a result of an inflamed appendix in the pelvis coming in contact with the obturator internus muscle.

Psoas Sign

Pain on extension of the right hip (commonly presents in patients with retrocecal appendix) . This pain is a result of an inflamed retrocecal appendix coming in contact with the iliopsoas group of hip flexors.

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Authors Manisha
License CC-BY-SA-4.0
Organizations Global Surgical Training Challenge
Cite as Manisha (2021–2025). "ASAP Syllabus/History and Physical". Appropedia. Retrieved November 28, 2025.
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