Which sign indicates pain in the right lower quadrant upon palpation of the left lower quadrant?

Which sign indicates pain in the right lower quadrant upon palpation of the left lower quadrant?

• A. Rebound
• B. Rovsing's Sign
• C. Aortic Aneurysm
• D. Paraspinal Pain

Answer: (B)

Rovsing's sign is a clinical indicator used in the assessment of appendicitis. It describes the phenomenon where pain is felt in the right lower quadrant when the left lower quadrant is palpated. This occurs because the pressure applied to the left side causes the intestines and surrounding structures to shift, potentially irritating the inflamed appendix located in the right lower quadrant. This sign is particularly valuable in differentiating appendicitis from other causes of abdominal pain, as it directly relates to the presence of inflammation of the appendix. In a clinical setting, a positive Rovsing's sign suggests that further evaluation for appendicitis may be warranted, particularly when the patient exhibits tenderness in the right lower quadrant. The other options provided are related to different clinical assessments or conditions but do not indicate the same relationship between the left and right lower quadrants. For example, rebound tenderness refers to pain upon release of pressure rather than pressure applied, and paraspinal pain is typically indicative of issues with the spine or muscles rather than appendiceal conditions. An aortic aneurysm does not produce this specific pain pattern known to be associated with Rovsing's sign.

Rovsing's sign is a clinical indicator used in the assessment of appendicitis. It describes the phenomenon where pain is felt in the right lower quadrant when the left lower quadrant is palpated. This occurs because the pressure applied to the left side causes the intestines and surrounding structures to shift, potentially irritating the inflamed appendix located in the right lower quadrant.

This sign is particularly valuable in differentiating appendicitis from other causes of abdominal pain, as it directly relates to the presence of inflammation of the appendix. In a clinical setting, a positive Rovsing's sign suggests that further evaluation for appendicitis may be warranted, particularly when the patient exhibits tenderness in the right lower quadrant.

The other options provided are related to different clinical assessments or conditions but do not indicate the same relationship between the left and right lower quadrants. For example, rebound tenderness refers to pain upon release of pressure rather than pressure applied, and paraspinal pain is typically indicative of issues with the spine or muscles rather than appendiceal conditions. An aortic aneurysm does not produce this specific pain pattern known to be associated with Rovsing's sign.