Sarah Michelle -- GI Crash Course-Questions &
Answers | Latest Already Graded A+ |2026.
RUQ pain could be
Cholecystitis - inflammation of the gallbladder and fatty food will intensify this
Hepatitis
RLQ pain could be
Appendicitis
LUQ/epigastric pain could be
Pancreatitis
Stomach issues
Stomach Ulcers
LLQ pain could be
Diverticulitis
Appendicitis s/s?
Can start out as periumbilical pain that then moves to the RLQ
N/V low grade fever
REFER TO ED!
,Diagnosing appendicitis in adults?
CT - Gold standard in adults
Diagnosing appendicitis in pediatrics?
US first line to reduce radiation
Assessment Test for Appendicitis
Tested on items !
These can also indicate peritonitis
What is Blumbergs sign?
reBound tenderness
Pain after LIFTING hand off RLQ- aka pain when pressure is removed
Rovsing sign?
R's
Rovsing Refers to the Right
When you palpate the LLQ this will ellicit pain in the RLQ as pain signals shoot across the abd
wall
Markles sign
,heels make a MARK
Will ask patient to stand on their toes then drop down onto their heels if this ellicits pain then its
positive
This can also be observed when driving on a bumpy road or hopping
" Heels make a mark"
Positive sign= right lower quad pain
McBurney point
POINT tenderness
Tenderness with palpation of McBurney's Point which is the point in the RLQ that is 2/3 distance
between umbilicus & anterior illiac crest
Obturator Sign
Pain with internal rotation of the right hip joint while the right knee is flexed. Positive= pain in
the lower right quad
Psoas Sign or Iliopsas Sign
Pain upon lifting the right leg against resistance of the examiners hand
, What if we have a patient who presents to the clinic with abdominal pain and a positive
Murphy sign?
What diagnosis does that likely indicate?
What is Murphys sign?
Pain on INSPIRATION with palpation into subcostal area (under rib cage) in RUQ
Cholecystitis.
And how do we perform that on our patient?
Well, we're going to palpate
into the subcostal area in the right upper
quadrant and have our patient take a big deep
If a patient has acute cholecystitis,
they are going to appear pretty ill, and In
pain, and in the large majority of cases, we're going to want to refer them to the emergency
department
for supportive care and immediate
imaging
What's the go-to management here?
Typically a cholecystectomy or surgery to remove the gallbladder.
Answers | Latest Already Graded A+ |2026.
RUQ pain could be
Cholecystitis - inflammation of the gallbladder and fatty food will intensify this
Hepatitis
RLQ pain could be
Appendicitis
LUQ/epigastric pain could be
Pancreatitis
Stomach issues
Stomach Ulcers
LLQ pain could be
Diverticulitis
Appendicitis s/s?
Can start out as periumbilical pain that then moves to the RLQ
N/V low grade fever
REFER TO ED!
,Diagnosing appendicitis in adults?
CT - Gold standard in adults
Diagnosing appendicitis in pediatrics?
US first line to reduce radiation
Assessment Test for Appendicitis
Tested on items !
These can also indicate peritonitis
What is Blumbergs sign?
reBound tenderness
Pain after LIFTING hand off RLQ- aka pain when pressure is removed
Rovsing sign?
R's
Rovsing Refers to the Right
When you palpate the LLQ this will ellicit pain in the RLQ as pain signals shoot across the abd
wall
Markles sign
,heels make a MARK
Will ask patient to stand on their toes then drop down onto their heels if this ellicits pain then its
positive
This can also be observed when driving on a bumpy road or hopping
" Heels make a mark"
Positive sign= right lower quad pain
McBurney point
POINT tenderness
Tenderness with palpation of McBurney's Point which is the point in the RLQ that is 2/3 distance
between umbilicus & anterior illiac crest
Obturator Sign
Pain with internal rotation of the right hip joint while the right knee is flexed. Positive= pain in
the lower right quad
Psoas Sign or Iliopsas Sign
Pain upon lifting the right leg against resistance of the examiners hand
, What if we have a patient who presents to the clinic with abdominal pain and a positive
Murphy sign?
What diagnosis does that likely indicate?
What is Murphys sign?
Pain on INSPIRATION with palpation into subcostal area (under rib cage) in RUQ
Cholecystitis.
And how do we perform that on our patient?
Well, we're going to palpate
into the subcostal area in the right upper
quadrant and have our patient take a big deep
If a patient has acute cholecystitis,
they are going to appear pretty ill, and In
pain, and in the large majority of cases, we're going to want to refer them to the emergency
department
for supportive care and immediate
imaging
What's the go-to management here?
Typically a cholecystectomy or surgery to remove the gallbladder.
