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11 Possible Causes for Appendicitis, Obturator Sign, Psoas Sign Positive

  • Appendicitis

    Psoas sign was found to be positive.[] […] appendix inflammation edit English appendicitis inflammation of the appendix epityphlitis acute appendicitis acute appendicitis with generalized peritonitis acute appendicitis[] […] indicates a positive obturator sign Rovsing's sign pressure over the descending colon causes pain in the RLQ Evaluation Labs absolute neutrophillic leukocytosis and left[]

  • Acute Peritonitis

    Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively.[] Continued How Is Appendicitis Diagnosed? Diagnosing appendicitis can be tricky.[] CT appearance of appendicitis. Figure 41.3. CT appearance of appendicitis. FIGURE 118.1. Perforated appendicitis with abscess and fecalith.[]

  • Retrocecal Appendicitis

    A psoas or obturator sign is considered positive when contact between the psoas or the obturator muscle and the inflamed appendix elicits pain.[] We have performed a preoperative ultrasound study in 368 children with acute appendicitis. Among the, 92 had a retrocecal appendicitis.[] Psoas signs is present, with a negative obturator sign. Lab studies show a white blood cell count of 15.3, beta HCG is negative.[]

  • Recurrent Appendicitis

    Acute appendicitis is a well known clinical entity, but many physicians are unwilling to accept appendicitis as a chronic or recurrent illness.[] ) Obturator sign : RLQ pain with flexion and internal rotation of the right leg Pain in the Pouch of Douglas : pain elicited by palpating the recto-uterine pouch on rectal[] The obturator sign is positive when passive internal rotation of the flexed right hip in the supine patient produces RLQ pain These signs suggest inflammation of the psoas[]

  • Cecum Diverticulum

    psoas sign.”[] Clarke recorded a case of appendicitis cured by it.[] Obturator, psoas, Murphy sign, and Rovsing signs were negative. Rectal exam was unremarkable.[]

  • Meckel Diverticulum

    […] or obturator sign.[] Three of the most common causes of surgical abdominal pain in pediatric patients include appendicitis, Meckel diverticulum, and intussusception.[] Obturator, psoas, Murphy’s and Rovsing’s signs were all negative. On digital rectal exam, the rectal vault was empty and stool tested guaiac negative.[]

  • Ovarian Torsion

    A positive test is pain with internal rotation of the hip. [37] Psoas sign , also known as "Obraztsova's sign", is right lower-quadrant pain that is produced with either the[] The objective of this article is to present a case of pediatric ovarian torsion and describe the difficulty of distinguishing it from perforated appendicitis in the emergency[] Acute adnexal pathology associated with appendicitis is very rare, with only a handful of reports available in the literature.[]

  • Pelvic Appendix

    Extending the hip may cause knee flexion to move the inflamed appendix away from the psoas.[] To our knowledge, this is the first case of appendicitis diagnosed with transvaginal sonography.[] Physical signs of Appendicitis Rovsings sign Psoas sign Obturator sign Aarons sign Straight leg raising sign Pointing sign Rebound tenderness Abdominal guarding Digital rectal[]

  • Decreased Bowel Sounds

    Pain with extension of the right hip with the patient in left lateral decubitus position (psoas sign) and with internal rotation of the thigh (obturator sign) may be found[] […] minutes before declaring an absence of bowel sounds. [1] Differential Diagnosis Common Causes Intestinal obstruction Adynamic ileus Intestinal ischemia Peritonitis Acute appendicitis[] sign – pain with flexion and internal rotation of the right hip Psoas sign – pain with either passive right hip extension or active right hip flexion CBC with diff showing[]

  • Abdominal Disorder

    Irritation of these structures is responsible for producing a positive psoas or obturator sign, white blood cells in the urine, and referred pain in the distribution of the[] Common examples include appendicitis, diverticulitis, and pancreatitis.[] Specific Signs: Specific signs such as Murphy’s, psoas, obturator and tenderness at McBurney’s point in conjunction with the remainder of H&P can have a high degree of specificity[]

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