Rovsing, Psoas, and Obturator Signs

[Ampeehoo]

The Rovsing sign (RLQ pain with palpation of the LLQ) suggests peritoneal irritation in the RLQ precipitated by palpation at a remote location. The obturator sign (RLQ pain with internal and external rotation of the flexed right hip) suggests that the inflamed appendix is located deep in the right hemipelvis. The psoas sign (RLQ pain with extension of the right hip or with flexion of the right hip against resistance) suggests that an inflamed appendix is located along the course of the right psoas muscle.

[FeynmanMedicine]

Psoas sign should be extension of hip leading to passive stretching of psoas causing irritation of retrocaecal appendix

[kroflet]

It's not just appendicits yes or no. These tests also tell the location of inflammed appendix.

[ComeAlongKay]

There comments are very helpful. It also helps how you all keep pointing out the same stuff in order to show how smart you are while not seeing that ton of other people pointed out the same things already. So, even if you’re right, you’re mostly redundant.

[johnmagar]

I find doing the obturator sign with patients on theirs back more practical.

[xanthoula]

We should always examine our patients while being on theirs right side...!

[BlueRam]

Correction:

Psoas sign - done with patient lying on her L side, with R thigh passively extended —> + if with RLQ pain elicited

Obturator sign - patient lying on her back, with R knee flexed and hip joint internally rotated —> if w RLQ pain elicited

[lonewolf-]

Obturator test is done on patient lying in Supine position.... Psoas test is done on left decubitus .... For eliciting Rovsing sign, examining from left side is unnecessary....

[abdulaibangura]

Nice job! Most of the negative comments are from people who are full of themselves and perform their physical examination differently.

[himprabalkaushik]

Rovsing sign is positive not because of the fascia rubbing against appendics but actually due to a rightward shift of the loops of ileum pushing thr inflammed appendix...

[xoxomag]

ummm I was under the impression Psoas sign is passive extension of the thigh while the patient is lying to the left. And the obturator sign is passive internal rotation of the hip while lying flat...

[privateundisclosed]

NEVER "ON" the knee! always hold ABOVE and BELOW the knee!

[adventurousdoglover]

My dr saw me curled over and asked to stand up straight arms up and jump. I about fell to the floor then he did these test and I almost jumped out of the room. 21 day hospital stay, drains and surgery due to mine starting to rupture

[balki]

What is reason of right lower quadrant pain if delay to bowel movements..

[MNL]

all good but that's not how the Obturator Sign works.
It is flexion and external rotation of right thigh while supine (same as Rovsing's) wich creates right lower quadrant pain. It indicates pelvic abscess or inflammatory mass in pelvis (appendicitis for example)

[chun-chengchu]

Actually, Psoas sign should be performed in lateral decubitus position and Obturator's sign should be performed in lying position.

[elviko]

Rowsing sign will cause pain not only by peritoneal irritation but also because gas and some feces is pushed back towards the right colon

[dr.farisissa]

The way when he say internal rotation and he did external rotation crack me up 😅

[Anthony-mdbm]

I want to do my beard exactly like yours, how do you do it?

[shahinshahsavari]

At 0:32, he mentions right lower quadrant, where the appendix is located.