Tenderness at McBurney's Point: Causes & Reasons

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Possible Causes for Tenderness at McBurney's Point

Perforated Appendix

tenderness at McBurney's point, Rovsing sign, psoas sign, obturator sign Prevalence common Blood work leukocytosis Radiology periappendiceal fat stranding, increased appendiceal [librepathology.org]

Rebound tenderness occurs at McBurney's point as well. Pain may also occur on the left side. Extreme tenderness occurs over the right rectus abdominis muscle. [medical-dictionary.thefreedictionary.com]

[…] fibrinous exudate, +/-perforation Site vermiform appendix Clinical history classically periumbilical pain then right lower quadrant pain, usu. younger patients Signs rebound tenderness [librepathology.org]

Appendicitis

[…] at McBurney's point Psoas/Obturator sign raise the patient's right leg with the knee flexed rotate the leg internally at the hip increased abdominal pain indicates a positive [step2.medbullets.com]

Abdominal examination revealed rebound tenderness at the McBurney's point. [ncbi.nlm.nih.gov]

Recurrent Appendicitis

[…] in McBurney point, guarding, and rebound tenderness. 1, 3 Although it is a rare condition, there are multiple case reports suggesting the existence of chronic appendicitis [cfp.ca]

Signs of appendicitis Blumberg's sign : rebound tenderness caused upon suddenly ceasing deep palpation of the RLQ McBurney point tenderness: an area one-third of the distance [amboss.com]

Coughing causes point tenderness in this area ( McBurney's point ), historically called Dunphy's sign. [en.wikipedia.org]

Appendiceal Abscess

There was moderate tenderness over McBurney's point and under this was a palpable mass about 2 inches in diameter, spherical, smooth and resilient. [pubs.rsna.org]

Physical Exam The physical examination may reveal a point of maximum tenderness over the appendix in a spot termed McBurney’s point; however, the absence of this classic sign [innerbody.com]

[…] sign McBurney's point of greatest tenderness Blumberg sign Rovsing’s Sign Dunphy sign Cough Test Obturator sign Psoas sign Markle sign 11 Location appendix during pregnancy [slideplayer.com]

Ovarian Cyst

A middle-aged patient, without any positive personal or familial history was urgently hospitalized and, after primary diagnostic procedures, treated by surgery for torsion and acute abdomen. During the procedure, torsioned ovarian cyst and a probable perforated omental cyst were found. Primary ovarian cancer and[…] [ncbi.nlm.nih.gov]

Retrocecal Appendicitis

In established appendicitis, the abdomen is most tender at McBurney’s point – situated one third of the distance from the right anterior superior iliac spine to the umbilicus [teachmeanatomy.info]

B lumberg sign: Rebound tenderness at McBurney’s point 3. C ough tenderness: Differentiates from right sided ureteric colic 4. [medchrome.com]

Inflammatory Bowel Disease Type 1

Crohn's disease is a chronic inflammatory disorder of the intestines that can affect many other organs. Varied genetic factors and environmental conditions are suspected to play a role in its development, but its cause remains unknown. Its management depends on the severity of the condition. General appearance[…] [symptoma.com]

Adenocarcinoma of the Appendix

We present a rare case of vesico-appendiceal fistula secondary to mucinous adenocarcinoma of the appendix. Transurethral biopsy of the bladder revealed a mucinous adenocarcinoma of probable colonic origin. Adenocarcinoma of the appendix that directly invaded the bladder was diagnosed preoperatively by[…] [ncbi.nlm.nih.gov]

Acute Appendicitis

Carcinoid Tumor of the Appendix

To view the fulltext, please log in To view the pdf, please log in Buy FullText & PDF Unlimited re-access via MyKarger Unrestricted printing, no saving restrictions for personal use read more CHF 38.00 * EUR 35.00 * USD 39.00 * Select KAB Buy a Karger Article Bundle (KAB) and profit from a discount ! If you would[…] [karger.com]

Pelvic Appendix

[…] examination A sign of Appendicitis is tenderness at the McBurney point Rovsings signs In this sign of appendicitis, a deep palpation of the left iliac fossa causes pain in [jotscroll.com]

Classic physical exam signs include Rovsing's sign and tenderness at McBurney's point. [journalofethics.ama-assn.org]

Ileocecal Tuberculosis

On palpation, tenderness about McBurney's point is often found, although the pain may be more generally distributed. A tumefaction is occasionally present. [pubs.rsna.org]

Left-Sided Appendicitis

Physical examination showed tenderness sharply localized to the left lower quadrant, and marked rebound tenderness in an area corresponding to McBurney's point but on the [ispub.com]

In acute appendicitis the point of maximum tenderness ( McBurney’s point ) usually lies one-third along a line from the anterior superior iliac spine to the umbilicus which [intechopen.com]

point tenderness, anorexia and fever will sometimes be taken to the OR without additional workup. [cdemcurriculum.com]

Adenitis

Start at the point of maximal tenderness, or at McBurney’s point, in the right lower quadrant. Look for the landmarks of the psoas muscle and the adjacent iliac vessels. [ultrasoundconnection.com]

Appendectomy

A common sign of appendicitis is deep tenderness at the McBurney's point (the location of McBurney's point is about 2/3 the distance starting from the umbilicus to the right [medicinenet.com]

Chronic Appendicitis

Coughing causes point tenderness in this area (McBurney's point) and this is the least painful way to localize the inflamed appendix. [parasitetesting.com]

In acute appendicitis the point of maximum tenderness (McBurney’s point) usually lies one-third along a line from the anterior superior iliac spine to the umbilicus which [intechopen.com]

McBurney’s point is the classical site of tenderness in appendicitis. Appendix varies in length, but the average length is about 10cm in adult. [tandurust.com]

Yersinia Pseudotuberculosis

[…] over McBurney point Rheumatologic involvement includes joint effusion, tenderness, or decreased the range of movement and may be asymmetric in distribution Erythema nodosum [statpearls.com]

Enteric findings include abdominal tenderness with or without rebound indicative of peritoneal involvement. Tenderness may be exquisite over McBurney point. [emedicine.medscape.com]

Systemic findings include fever, skin rash, strawberry tongue, hypotension, and lymphadenopathy Enteric findings include abdominal tenderness with or without rebound and tenderness [statpearls.com]

Mesenteric Lymphadenitis

In such cases, a digital rectal examination elicits tenderness in the rectovesical pouch. Coughing causes point tenderness in this area ( McBurney's point ). [gutenberg.us]

Retractile Mesenteritis

[…] the McBurney point • Rebound tenderness • Referred or indirect rebound tenderness • Rovsing’s sign -indicates the site of peritoneal irritation • Cutaneous hyperesthesia [slideshare.net]

Signs • The classic right lower quadrant physical signs are present when the inflamed appendix lies in the anterior position • Direct tenderness often is maximal at or near [slideshare.net]

Idiopathic Scoliosis

[…] at McBurney’s point (a point over the right side of the abdomen that is two-thirds of the space from the umbilicus to the anterior superior iliac spine) [6]. [cureus.com]

Appendicitis normally presents in children and adolescents as vague abdominal pain, low-grade fever, nausea, vomiting, and diarrhea, with the majority of patients having tenderness [cureus.com]

Intraperitoneal Abscess in the Right Lower Quadrant

Tenderness often is maximal at or near the McBurney point.8 Direct rebound tenderness usually is present. [intranet.tdmu.edu.ua]

Coughing causes point tenderness in this area ( McBurney's point ), historically called Dunphy's sign. [en.wikipedia.org]

Exam: ◦ McBurney’s point of maximum tenderness – 2/3rds the distance from the umbilicus to the anterior superior iliac spine (in an anteriorly positioned appendix) ◦ Obturator [clinicaladvisor.com]

Typhlitis

McBURNEY'S POINT. [smokh.org]

It becomes the diagnosis secure with the sensitivity to pain at the feeling ex-amination of different places (McBurney point, Lanz point, Blumberg sign > re-bound tenderness [medhost.de]

McBurney was the first to demonstrate that a most important definite sign of acute appendicitis was the exquisite tenderness elicited on deep pressure over this point. [smokh.org]

Retroperitoneal Fibrosis

Signs • The classic right lower quadrant physical signs are present when the inflamed appendix lies in the anterior position • Direct tenderness often is maximal at or near [slideshare.net]

Ureterolithiasis

An abdominal exam revealed right lower quadrant tenderness at McBurney’s point with no rebound or guarding and a negative Rovsing’s sign. [academic.oup.com]

Mesenteric Lymphadenitis due to Yersinia Pseudotuberculosis

Physical examination revealed tenderness limited to McBurney's point without muscular defense or rebound tenderness. [cyberleninka.org]

Enteric findings include abdominal tenderness with or without rebound indicative of peritoneal involvement. Tenderness may be exquisite over McBurney point. [emedicine.medscape.com]

Rheumatologic involvement may include joint effusion, tenderness, or decreased range of movement and may be asymmetric in distribution. [emedicine.medscape.com]

Cystic Duct Obstruction

To rule this out look for rebound tenderness at McBurney's point. [physio-pedia.com]

Cecum Diverticulum

All of my cases had localized pain in the right iliac fossa, induration or tumor, McBurney's tender point, fever and furred tongue. [books.google.de]

The tenderness is localised and persistent and is classically at McBurney's point (one-third of the way from the anterior superior iliac spine to the umbilicus), although [surgwiki.com]

Seite 10 - Briefly stated, localized pain in the right iliac fossa, with or without induration or tumor, the existence of McBurney's tender point, fever, furred tongue, vomiting [books.google.de]

Salpingitis

(CMT) Antibiotics Appendicitis Initially diffuse epigastric pain Later localized right lower quadrant pain Nausea and vomiting Fever McBurney's point tenderness Ultrasound [amboss.com]

She had a painful abdomen on palpation with active muscular contractions and rebound tenderness. She did not have an irritated psoas muscle or pain at McBurney's point. [ncbi.nlm.nih.gov]

[…] shows echogenic mass Methotrexate or surgical removal PID Lower bilateral abdominal pain Fever Menorrhagia and metrorrhagia Dyspareunia Cervical discharge Cervical motion tenderness [amboss.com]

Abdominal Disorder

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 [cdemcurriculum.com]

Rebound tenderness indicates a degree of peritonitis. Percussion: Dullness or resonance may help direct towards specific disease processes. [cdemcurriculum.com]

Abdominal Wall Hematoma

Physical examination revealed lower right quadrant pain with involuntary guarding and rebound abdominal tenderness at Mcburney´s point. He had 30 IMC. [ispub.com]