What physical findings suggest appendicitis?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
  • Print
Answer

The most specific physical findings in appendicitis are rebound tenderness, pain on percussion, rigidity, and guarding. Although RLQ tenderness is present in 96% of patients, this is a nonspecific finding. Rarely, left lower quadrant (LLQ) tenderness has been the major manifestation in patients with situs inversus or in patients with a lengthy appendix that extends into the LLQ. Tenderness on palpation in the RLQ over the McBurney point is the most important sign in these patients.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!