Possible Causes for tenderness at mcburneys point 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] 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] 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] Classic physical exam signs include Rovsing's sign and tenderness at McBurney's point. [journalofethics.ama-assn.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] […] 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] 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] 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] 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] Inflammatory Bowel Disease Type 1 @article{Penny2015TheRB, title {The relationship between inflammatory bowel disease and type 1 diabetes mellitus: a study of relative prevalence in comparison with population controls.}, author {Hugo A Penny and John S Leeds and Matthew Kurien and Anastasios Averginos and Andrew D. Hopper and Marios Hadjivassiliou[…] [semanticscholar.org] 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] […] 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 [medbullets.com] B lumberg sign: Rebound tenderness at McBurney’s point 3. C ough tenderness: Differentiates from right sided ureteric colic 4. [medchrome.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] 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] 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] 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] 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] 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] Endometriosis […] guarding with a voluntary component in the lower right quadrant, and increased pain with coughing at the McBurney’s point, which were consistent with the signs of acute appendicitis [wjgnet.com] Physical examination upon admission Her abdominal examination revealed that the abdomen was diffusely soft, nondistended, but presented tenderness, rebound tenderness, and [wjgnet.com] 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] Retractile Mesenteritis 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] […] 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] Tubo-Ovarian Abscess She had no tenderness with palpation of McBurney’s point or any tenderness with palpation over the left or right adnexa. [academic.oup.com] Given this displacement, she did not present with adnexal tenderness, tenderness over McBurney’s point or pelvic pain, rather, tenderness that was more proximal. [academic.oup.com] Her abdomen was soft and non-peritoneal, but tender in right upper quadrant and right-sided mid abdomen. [academic.oup.com] Cholecystitis To rule this out look for rebound tenderness at McBurney's point. [physio-pedia.com] Aortic Valve Stenosis Classic signs of appendicitis are Right lower quadrant direct and rebound tenderness located at the McBurney point (junction of the middle and outer thirds of the line joining [msdmanuals.com] Mesenteric Lymphadenitis 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] 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] 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] 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] Chronic Cholecystitis To rule this out look for rebound tenderness at McBurney's point. [physio-pedia.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] Lower Gastrointestinal Hemorrhage 反動痛 rebound tenderness 腹部強直 abdominal rigidity ブルンベルグ徴候 Blumberg sign マックバーニー（圧痛）点 McBurney point マックバーニー徴候 McBurney sign 腰筋徴候 psoas sign ランツ(圧痛)点 Lanz point るいそう emaciation [jsge.or.jp] 腹部圧痛 abdominal tenderness 腹部痙攣 abdominal clamping 腹部膨満 abdominal distention 腹壁防御 muscular defence, defense musculaire, abdominal guarding 腹膜刺激症状 peritoneal sign 反跳痛 rebound tenderness [jsge.or.jp] Stomach Abscess 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] Intestinal Infarction The maximum temperature (T max ) was 38.9 C, and the examination of the abdomen revealed a local tenderness and rebound with guarding at Mcburney's point. [journals.lww.com] Omental Infarction The Maximal tender area was the slightly upper part of the abdomen up to McBurney s point. [happycampus.com] Abdominal Visceral Abscess 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) and this is the least painful way to localize the inflamed appendix. [intranet.tdmu.edu.ua] In such cases, a digital rectal examination elicits tenderness in the rectovesical pouch. [intranet.tdmu.edu.ua] Lesser Sac Abscess The site of maximum tenderness (which is pain elicited by the probings of the examiner) is at McBurney s point, which is the surface marking of the appendix. [bmb.leeds.ac.uk]
