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Rovsing's sign, named after the Danish surgeon Niels Thorkild Rovsing (1862–1927), [1] is a sign of appendicitis.If palpation of the left lower quadrant of a person's abdomen increases the pain felt in the right lower quadrant, the patient is said to have a positive Rovsing's sign and may have appendicitis.
Bartomier-Michelson's sign: Increased pain on palpation at the right iliac region as the person being examined lies on their left side compared to when they lie on their back. [41] Dunphy's sign: Increased pain in the right lower quadrant by coughing. [42] Hamburger sign: The patient refuses to eat (anorexia is 80% sensitive for appendicitis) [43]
The iliac fossa is bounded above by the iliac crest, and below by the arcuate line. It is bordered in front and behind by the anterior and posterior borders of the ilium. The iliac fossa gives origin to the iliacus muscle. [1] The obturator nerve passes around the iliac fossa. [2] It is perforated at its inner part by a nutrient canal.
In supine patients, infected fluid from the right iliac fossa may ascend in the paracolic gutter to enter the lesser sac. In patients nursed in a sitting position, fluid from the stomach, duodenum, or gallbladder may run down the paracolic gutter to collect in the right iliac fossa or pelvis. This may mimic acute appendicitis or form a pelvic ...
Dance's sign is an eponymous medical sign first described by the French pathologist Jean Baptiste Hippolyte Dance, requiring investigation of the right lower quadrant of the abdomen for retraction of the right iliac fossa, which can indicate an intussusception.
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