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
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.