Colorectal
,Appendicitis
,Appendicitis: Symptoms
• Abdominal pain
• Starts as diffuse, periumbilical abdominal pain which becomes localised to
right iliac fossa due to parietal peritoneal inflammation
• Patients can’t hop on the right leg due to pain
• Anorexia
• Nausea and vomiting
, Appendicitis: Examination
• Generalised peritonitis in perforation
• Rebound and percussion tenderness
• Guarding voluntary muscle contraction to protect from pain
• Rigidity involuntary muscle spasm due to underlying inflammation
• Reduced bowel sounds
• McBurney’s sign
• Tenderness 1/3 of the distance from the ASIS to the umbilicus
• Rovsing’s sign
• Palpation of the LIF causes RIF pain
• Iliopsoas sign
• Pain on right hip extension (in retrocecal appendicitis)
,Appendicitis
,Appendicitis: Symptoms
• Abdominal pain
• Starts as diffuse, periumbilical abdominal pain which becomes localised to
right iliac fossa due to parietal peritoneal inflammation
• Patients can’t hop on the right leg due to pain
• Anorexia
• Nausea and vomiting
, Appendicitis: Examination
• Generalised peritonitis in perforation
• Rebound and percussion tenderness
• Guarding voluntary muscle contraction to protect from pain
• Rigidity involuntary muscle spasm due to underlying inflammation
• Reduced bowel sounds
• McBurney’s sign
• Tenderness 1/3 of the distance from the ASIS to the umbilicus
• Rovsing’s sign
• Palpation of the LIF causes RIF pain
• Iliopsoas sign
• Pain on right hip extension (in retrocecal appendicitis)
