A | B |
Rovsing | Right lower quadrant pain intensified by left lower quadrant abdominal palpation |
Peritoneal irritation; appendicitis | Rovsing |
Right lower quadrant pain intensified by left lower quadrant abdominal palpation | Peritoneal irritation; appendicitis |
Romberg-Howship | Pain down the medial aspect of the thigh to the knees |
Strangulated obturator hernia | Romberg-Howship |
Pain down the medial aspect of the thigh to the knees | Strangulated obturator hernia |
Murphy | Abrupt cessation of inspiration on palpation of gallbladder |
Cholecystitis | Murphy |
Abrupt cessation of inspiration on palpation of gallbladder | Cholecystitis |
Appendicitis | Rebound tenderness and sharp pain when McBurney point is palpated |
McBurney | Appendicitis |
Markle (heel jar) | Patient stands with straightened knees, then raises up on toes, relaxes, and allows heels to hit floor, thus jarring body. Action will cause abdominal pain if positive |
Peritoneal irritation; appendicitis | Markle (heel jar) |
Patient stands with straightened knees, then raises up on toes, relaxes, and allows heels to hit floor, thus jarring body. Action will cause abdominal pain if positive | Peritoneal irritation; appendicitis |
Aaron | Pain or distress occurs in the area of the patient's heart or stomach on palpation of McBurney point |
Appendicitis | Aaron |
Blumberg | Rebound tenderness |
Peritoneal irritation; appendicitis | Blumberg |
Rebound tenderness | Peritoneal irritation; appendicitis |
Ballance | Fixed dullness to percussion in left flank, and dullness in right flank that disappears on change of position |
Peritoneal irritation | Ballance |
Fixed dullness to percussion in left flank, and dullness in right flank that disappears on change of position | Peritoneal irritation |
Cullen | Ecchymosis around umbilicus |
Hemoperitoneum; pancreatitis; ectopic pregnancy | Cullen |
Ecchymosis around umbilicus | Hemoperitoneum; pancreatitis; ectopic pregnancy |
Dance | Absence of bowel sounds in right lower quadrant |
Intussusception | Dance |
Absence of bowel sounds in right lower quadrant | Intussusception |
Grey Turner | Ecchymosis of flanks |
Hemoperitoneum; pancreatitis | Grey Turner |
Ecchymosis of flanks | Hemoperitoneum; pancreatitis |
Kehr | Spleen rupture; renal calculi; ectopic pregnancy |
Abdominal pain radiating to left shoulder | Kehr |
Spleen rupture; renal calculi; ectopic pregnancy | Abdominal pain radiating to left shoulder |
Oasthouse urine disease (methionine) | Yeastlike, celery |
Uremia (di-, trimethylamines) | Rotting fish |
Stale water | Acute tubular necrosis |
Violets | Turpentine ingestion |
Medicinal | Antibiotics: penicillin, cephalosporin |
Ammonia | Urea-splitting bacteria (especially Proteus) |