Question

Pt arrives in the ER with nausea. vomiting, and localized severe

pain in the RLZ. Your suspect she may have appendicitis. What
physical assessments can you perform to detect appendicitis?

Answer 1

To detect appendicitis, physical assessments such as abdominal examination, rebound tenderness, Rovsing's sign, and Psoas sign can be performed.

Step-by-step explanation:

To detect appendicitis, there are several physical assessments that can be performed. These include:

1. Abdominal examination: The doctor will palpate (feel) the abdomen to check for tenderness and pain in the right lower quadrant (RLQ) where the appendix is located.
2. Rebound tenderness: The doctor will press gently on the RLQ and then quickly release the pressure. If there is pain when the pressure is released, it is a sign of rebound tenderness, which indicates possible appendicitis.
3. Rovsing's sign: The doctor will press on the left lower quadrant of the abdomen and then release the pressure. I
4. f there is pain in the RLQ when the pressure is released, it is a positive Rovsing's sign, which is suggestive of appendicitis.
5. Psoas sign: The doctor will ask the patient to lie on their left side and then extend their right leg backwards. If there is pain in the RLQ when the leg is extended, it is a positive Psoas sign, which can indicate appendicitis.

These physical assessments, along with the patient's symptoms and medical history, can help in the diagnosis of appendicitis.