PE help - mona

[ArchivalUser]

hi
in a case LLQ pain if u want to check appendicitis which r the which r the tests we can skip
mc burney
rebound tenderness
obturaotr sign
psoas sign

[ArchivalUser]

if pt indeed has apendicitis , he should show the 1st two tests positive atleast.

ideally both 3rd and 4th tests should be done. but if time was indeed short , i would skip the obturator test and write rectal examination. cause i think rectal examination will show tenderness if the pt has the appendix in the 'pelvic' position (i hope i am right abt this theory)

the psoas test will be important because the most common position of the appendix is retroceacal, right???

anyone else??

[ArchivalUser]

and btw is it LLQ or RLQ??

[ArchivalUser]

yes u r right . my mistake. it is about RLQ. thanks