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NR 509 Final Exam 2023
1. Appendicitis: 1. McBurney point tenderness
2. Rovsing sign
3. the psoas sign
4. the obturator sign
--Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing
sign, and the psoas sign
--The pain of appendicitis classically begins near the umbilicus, then
migrates to the RLQ. Older adults are less likely to report this pattern.
--Localized tenderness anywhere in the RLQ, even in the right flank,
suggests appendicitis.
2. McBurney Point: 1. McBurney point lies 2 inches from the anterior
superior spinous process of ilium on a line drawn from that process to the
umbilicus
2. Appendicitis is three times more likely if there is McBurney point
tenderness.
3. Rovsing sign: Press deeply and evenly in the LLQ. Then quickly withdraw
your fingers.
Pain in the RLQ during left-sided pressure is a positive Rovsing sign.
4. Psoas Sign: --Place your hand just above the patient's right knee and ask
the patient to raise that thigh against your hand. Alternatively, ask the patient
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