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Author Question: Your patient is lying supine and you ask him to raise his leg while you place resistance against the ... (Read 98 times)

geodog55

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on: Jun 25, 2018
Your patient is lying supine and you ask him to raise his leg while you place resistance against the thigh. The examiner is testing the patient for:
 
  A. Psoas sign
  B. Obturator sign
  C. Rovsing's sign
  D. Murphys' sign

Question 2

Your patient has abdominal pain, and it is worsened when the examiner rotates the patient's right hip inward with the knee bent and the obturator internus muscle is stretched. This is a sign of:
 
  A. Diverticulitis
  B. Cholecystitis
  C. Appendicitis
  D. Mesenteric adenitis


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stallen

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
To examine the patient for appendicitis, the clinician can test the patient for psoas sign. This is done in the following manner: Place a hand on the patient's thigh just above the knee and ask the patient to raise the thigh against your hand. This contracts the psoas muscle and produces pain in patients with an inflamed appendix.

Answer to Question 2

ANS: C
A positive obturator sign indicates appendicitis. Pain is elicited by inward rotation of the right hip with the knee bent so that the obturator internus muscle is stretched.


geodog55

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Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

scottmt

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Reply 3 on: Yesterday
Gracias!

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