Abdominal examination revealed a mildly distended abdomen, with pain all over but mostly in the epigastric and umbilical areas (there was some pain at the surgical site), no rigidity, no
rebound tenderness and sluggish bowel sounds.
Of the 394 patients, 143 had
rebound tenderness and/or guarding and 251 did not.
Direct abdominal tenderness is a fairly reliable sign of appendicitis during pregnancy, but
rebound tenderness is much less reliable, because the enlarged uterus shields the abdominal wall.
On physical exam, the left inguinal region was tender and
rebound tenderness was elicited over a 2 by 2 centimeter region inferior to the mid-inguinal ligament.
Her abdomen is soft and she displays slight guarding but no
rebound tenderness. She is admitted to the hospital for observation and intravenous hydration.
These include dyspnea and stridor, ulcers, meningitis, GI
rebound tenderness, hematemesis, and melena.
Her temperature was mildly elevated, she demonstrated
rebound tenderness to a moderate degree at McBurney's point and at the 10, 2, and 4 o'clock periumbilical positions (Dr.
Findings on physical examination included injected conjunctivae, a temperature of 96.3 F (35.7 C), pulse of 112 beats per minute, and
rebound tenderness to the abdomen.
Of all the symptoms RIF pain, Pain migration, nausea and vomiting and duration of symptoms came out to be statistically significant (with p value 0.032, 0.048, 0.016 and 0.042 respectively) but RIF pain and nausea and vomiting came out to be highly significant (with p value 0.032 and 0.016 respectively) Signs such as RIF tenderness was present in 190 cases (p value 0.016), guarding was present in 85 (p value 0.226),
rebound tenderness was present in 75 (p value 0.461) and Rovsing's sign was present in 80 (p value 0.134).
In physical examination, the abdomen was distended and
rebound tenderness was positive.
She also had abdominal
rebound tenderness in her left abdominal quadrants.
During his physical examination, tenderness without guarding and
rebound tenderness were localized in the left upper quadrant.