The other common physical signs in appendicitis patients were
rebound tenderness found hi RIF 40 cases (76.92%)
On physical examination, minimal tenderness in all quadrants, mild abdominal distension without guarding, and
rebound tenderness were observed.
Physical examination revealed a slight tenderness on her abdomen with mild
rebound tenderness. Her laboratory findings showed elevated leukocytes (10,170 cells/mL, reference range 3,300-8,600 cells/pL), neutrophils (87%, reference 40%-71%), and C-reactive protein (11.7 mg/dL, reference 0-0.14 mg/ dL).
Physical examination revealed abdominal swelling, tenderness,
rebound tenderness, shifting dullness, active bowel sounds, no muscle tension.
Abdomen was soft, tender at right iliac fossa, guarding and
rebound tenderness was positive, and gut sounds were audible.
Moreover, the patient also had
rebound tenderness and defense in the right lower quadrant.
Physical examination revealed mild tenderness to palpation over the right hemiabdomen, but no
rebound tenderness or guarding.
The abdominal examination revealed diffuse tenderness and
rebound tenderness to palpation, 2 periumbilical ecchymoses of 2/2 cm, many others within the left deltoid area and on the lower limbs.
Metastasis to the lower genital tract presents as purple to blue-black papules or nodules, abdominal tenderness if liver or gastrointestinal metastases have occurred, abdominal guarding and
rebound tenderness if hemoperitoneum has occurred due to bleeding from abdominal metastasis.
The physical exam yielded mild tenderness in the LLQ and RUQ without guarding or
rebound tenderness. Significant laboratory values included an elevated WBC of 13,600 cells/mL; alkaline phosphatase, 144 IU/L; and total bilirubin 2.2 mg/dL.
The abdomen was non-distended, but severe tenderness was present in the epigastric region with a negative Murphy's sign and no
rebound tenderness. Bowel sounds were present.
Migration of pain, continuous abdominal pain and presence of an appendicolith on X-ray, guarding,
rebound tenderness, thickened appendixwall, gurgling, neutrophilia, leucocytosis, increased appendix diameter on ultrasound, localized gas deposition on X-ray, bilious vomiting, periappendiceal free fluid, localized air-fluid level, scoliosis to the right side, pyrexia, right lower quadrant tenderness, increased CRP levels, anorexia, and male gender were the other predictors with decreasing OR values, consecutively.