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    Rovsing's Sign. A Doctor Tests For Rovsing's Sign by Applying Hand Pressure To The Lower

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    Annette Aquino Guevarra
    The document describes several signs and symptoms that may indicate appendicitis, including guarding, rebound tenderness, Rovsing's sign, psoas sign, and obturator sign. Guarding occurs when a person involuntarily tenses their abdominal muscles during examination. Rebound tenderness is felt upon release of pressure applied to the abdomen. Rovsing's sign and psoas sign involve pain felt in different areas of the abdomen during specific examination maneuvers. The obturator sign tests for pain with movement of the leg.

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    Rovsing's Sign. A Doctor Tests For Rovsing's Sign by Applying Hand Pressure To The Lower

    Uploaded by

    Annette Aquino Guevarra
    68 views3 pages
    The document describes several signs and symptoms that may indicate appendicitis, including guarding, rebound tenderness, Rovsing's sign, psoas sign, and obturator sign. Guarding occurs when a person involuntarily tenses their abdominal muscles during examination. Rebound tenderness is felt upon release of pressure applied to the abdomen. Rovsing's sign and psoas sign involve pain felt in different areas of the abdomen during specific examination maneuvers. The obturator sign tests for pain with movement of the leg.

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    chrons@ulcerative

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    The document describes several signs and symptoms that may indicate appendicitis, including guarding, rebound tenderness, Rovsing's sign, psoas sign, and obturator sign. Guarding occurs when a person involuntarily tenses their abdominal muscles during examination. Rebound tenderness is felt upon release of pressure applied to the abdomen. Rovsing's sign and psoas sign involve pain felt in different areas of the abdomen during specific examination maneuvers. The obturator sign tests for pain with movement of the leg.

    Copyright:

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    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    68 views3 pages

    Rovsing's Sign. A Doctor Tests For Rovsing's Sign by Applying Hand Pressure To The Lower

    Uploaded by

    Annette Aquino Guevarra
    The document describes several signs and symptoms that may indicate appendicitis, including guarding, rebound tenderness, Rovsing's sign, psoas sign, and obturator sign. Guarding occurs when a person involuntarily tenses their abdominal muscles during examination. Rebound tenderness is felt upon release of pressure applied to the abdomen. Rovsing's sign and psoas sign involve pain felt in different areas of the abdomen during specific examination maneuvers. The obturator sign tests for pain with movement of the leg.

    Copyright:

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    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Responses that may indicate appendicitis include Guarding.

    . Guarding occurs when a person subconsciously tenses the abdominal muscles during an examination. Voluntary guarding occurs the moment the doctors hand touches the abdomen. Involuntary guarding occurs before the doctor actually makes contact. Rebound tenderness. A doctor tests for rebound tenderness by applying hand pressure to a patients abdomen and then letting go. Pain felt upon the release of the pressure indicates rebound tenderness. A person may also experience rebound tenderness as pain when the abdomen is jarredfor example, when a person bumps into something or goes over a bump in a car. Rovsings sign. A doctor tests for Rovsings sign by applying hand pressure to the lower left side of the abdomen. Pain felt on the lower right side of the abdomen upon the release of pressure on the left side indicates the presence of Rovsings sign. Psoas sign. The right Psoas muscle runs over the pelvis near the appendix. Flexing this muscle will cause abdominal pain if the appendix is inflamed. A doctor can check for the Psoas sign by applying resistance to the right knee as the patient tries to lift the right thigh while lying down. Obturator sign. The right obturator muscle also runs near the appendix. A doctor test for the obturator sign by asking the patient to lie down with the right leg bent at the knee. Moving the bent knee left and right requires flexing the obturator muscle and will cause abdominal pain if the appendix is inflamed.

    Pathophysiology (Crohns Disease)

    Precipitating Factor (unknown) -consumption of nonfermental foods -smoking -pt. who had appendectomy

    Predisposing Factor -common in adolescent / Adults -more common in women and occurs between the frequently in older populations (ages 50 & 80) -geneticfactor

    Inflammation of bowel wall

    -Right lower quadrant pain

    Edema and thickening of mucosa

    Formation of granulomas

    -crampy pains -tenderness

    Ulcers begin to appear (skip lesions) Cobblestone appearance

    transmural

    Inflammation extends in the peritoneum -fistulas -abscess

    -Bowel wall thickens and becomes fibrotic -intestinal lumen narrows -watery stools -steatorrhea

    Disrupted absorption

    Pathophysiology (Ulcerative Colitis)


    Precipitating Factors (unkown) -Bacterial origin (E. hystolitica, C. difficile) -allergies ang immune disorders Predisposing Factor -highest incidence in Caucasians and people of Jewish Heritage -20 and 40 years of age (more common) -below average birth weight who are born to mothers w/ ulcerative colitis

    Superficial mucosa of the colon is inflamed

    Left lower quadrant pain

    Desquamation/ shedding of colonic epithelium

    Diffuse inflammation

    Mucosa becomes edematous Rectal bleeding

    Multiple ulcerations Crypt abscess formation

    Passage of mucus and pus

    -muscle hypertrophy -fat deposits

    Bowel wall shortness -Diarrhea (10-20 liquid stools each day) -Hypocalcemia and anemia

    absorptive ability

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