Question

jeremy is an 18 y/o male who comes to the clinic with a chief complaint of periumbilical pain. over the past 24 hours he has had bouts of nausea and diarrhea and pain at mcburneys point. which of the following assessments would aide in confirming jeremys diagnosis? a. psoas sign b. obturator sign c. murphys sign d. all the above e. a & b only

Explanation:

Jeremy's symptoms (periumbilical pain migrating to McBurney's point, nausea, diarrhea) are suggestive of appendicitis. Psoas sign and Obturator sign are used to assess for appendicitis. Psoas sign tests for irritation of the psoas muscle which can occur with an inflamed appendix. Obturator sign tests for irritation of the obturator internus muscle related to appendicitis. Murphy's sign is associated with cholecystitis, not appendicitis.

Answer:

E. A & B only