1. Aaron sign: Pain or distress occurs in the area of the patient's heart or stomach
on palpation of McBurney's point
Appendicitis
2. Ballance sign: Fixed dullness to percussion in left flank, and dullness in right
flank that disappears on change of position
Peritonitis
3. Blumberg sign: rebound tenderness
peritonitis, appendicitis
4. Cullen sign: bruising around umbilicus
pancreatitis or ectopic pregnancy
5. Dance sign: absence of bowel sounds in RLQ
intussusception
6. Grey Turner sign: Ecchymosis of flanks
Hemoperitoneum; pancreatitis
7. Kehr sign: abdominal pain radiating to the left shoulder
spleen rupture, ectopic pregnancy, renal calculi
8. Markle sign (heel jar): abdominal pain when running, jumping, RLQ pain when
pt drops from tip toes to heel with jarring landing
appendicitis, peritonitis
9. McBurney's sign: rebound tenderness associated with appendicitis (RLQ)
10. Murphy's sign: Abrupt cessation of inspiration with palpation of gall bladder
cholecystitis
11. Romberg test: Ask client to stand with feet at comfortable distance apart, arms
at sides, and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5
seconds
-strangulated obturator hernia
12. Rovsing's sign: Pain in RLQ with palpation of LLQ indicative of appendicitis
13. Iliopsoas muscle test: RLQ pain that occurs when placing pressure against a
raised leg, suggesting appendicitis
14. Obturator muscle test: have patient flex right leg at hip and knee; then rotate
hip externally and lower leg medially
-possible appendicitis, pelvic abscess
15. Percussion for ascites: - Fluid associated with ascites will sink with GRAVITY
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on palpation of McBurney's point
Appendicitis
2. Ballance sign: Fixed dullness to percussion in left flank, and dullness in right
flank that disappears on change of position
Peritonitis
3. Blumberg sign: rebound tenderness
peritonitis, appendicitis
4. Cullen sign: bruising around umbilicus
pancreatitis or ectopic pregnancy
5. Dance sign: absence of bowel sounds in RLQ
intussusception
6. Grey Turner sign: Ecchymosis of flanks
Hemoperitoneum; pancreatitis
7. Kehr sign: abdominal pain radiating to the left shoulder
spleen rupture, ectopic pregnancy, renal calculi
8. Markle sign (heel jar): abdominal pain when running, jumping, RLQ pain when
pt drops from tip toes to heel with jarring landing
appendicitis, peritonitis
9. McBurney's sign: rebound tenderness associated with appendicitis (RLQ)
10. Murphy's sign: Abrupt cessation of inspiration with palpation of gall bladder
cholecystitis
11. Romberg test: Ask client to stand with feet at comfortable distance apart, arms
at sides, and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5
seconds
-strangulated obturator hernia
12. Rovsing's sign: Pain in RLQ with palpation of LLQ indicative of appendicitis
13. Iliopsoas muscle test: RLQ pain that occurs when placing pressure against a
raised leg, suggesting appendicitis
14. Obturator muscle test: have patient flex right leg at hip and knee; then rotate
hip externally and lower leg medially
-possible appendicitis, pelvic abscess
15. Percussion for ascites: - Fluid associated with ascites will sink with GRAVITY
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