Electroyte Sign
Transcript of Electroyte Sign
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5) An 18 year old man presents to the Emergency Department with a 14 hour history of abdominal painwhich has now localized to the right lower quadrant. On physical examination, there is tenderness of deeppalpation in the right lower quadrant, without guarding or rebound. The Rovsing's sign is negative. Whichof the following additional physical findings would be most consistent with a diagnosis of appendicitis if
positive?
Murphy's sign Chvostek's sign
Psoas sign
Carnett's sign
Romberg's sign
Explanation:
Sign Description Typically seen in
Chvostek's signAbnormal reaction of the facial nerve tostimulation
Electrolyte abnormality, mostcommonly hypocalcemia
Carnett's sign
Abdominal wall pain decreases when theabdominal wall musculature is tensed;typically indicating that the source of thepain is the abdominal wall, as opposed to
the abdominal cavity.
Rectus sheath hematomaabdominal wall trauma
Murphy's sign
Pain and tenderness to palpation of theRUQ during inspiration and resulting incessation of inspiration; can be associatedwith physical examination orultrasonography
Acute cholecystitisLiver pathology
Psoas sign
Right lower quadrant pain with passive (oractive) extension of the right lowerextremity. This typically indicates aprocess that is irritating the right psoasmuscle. (Note: the patient is on their sideduring this examination)
Appendicitis (typicallyretrocecal)Psoas muscle abscess orhematoma
Romberg's sign
Tests the body's ability to senseproprioception (positioning) and thusassess function of the dorsal columns ofthe spinal cord.
Any process that causesdysfunction in sensoryperception. This can bemetabolic (ETOH intoxication)or neuroanatomical in etiology.
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