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.
@kroflet9 жыл бұрын
It's not just appendicits yes or no. These tests also tell the location of inflammed appendix.
@marlenekon4392 Жыл бұрын
YOU ARE AMAZING!
@ComeAlongKay5 ай бұрын
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.
@ilovegod01062 жыл бұрын
thank you for the excellent video.
@wannamonslo96263 жыл бұрын
Good. Simple. Straight forward.
@leylin73492 жыл бұрын
Good straightforward and nice
@privateundisclosed44489 жыл бұрын
NEVER "ON" the knee! always hold ABOVE and BELOW the knee!
@johnmagar77597 жыл бұрын
I find doing the obturator sign with patients on theirs back more practical.
@FeynmanMedicine Жыл бұрын
Psoas sign should be extension of hip leading to passive stretching of psoas causing irritation of retrocaecal appendix
@titiamsal110211 ай бұрын
great job!
@baraatalib89793 жыл бұрын
Thank you 👏
@ELMV4034 жыл бұрын
Great video
@xoxomag8 жыл бұрын
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...
@maryambashir78484 жыл бұрын
I know right. I'm confused
@BlackShadow20093 жыл бұрын
Psoas test can be done in two ways. Like in video or like what you said.
@alejandrocanas95943 жыл бұрын
2 ways to do the psoas sign! The way they showed in the video is the easiest!
@imanaljabbari19622 жыл бұрын
His bow tie is so cute
@xanthoula19798 жыл бұрын
We should always examine our patients while being on theirs right side...!
@preciouscm235 жыл бұрын
thank you!!!!
@elviko85814 жыл бұрын
Rowsing sign will cause pain not only by peritoneal irritation but also because gas and some feces is pushed back towards the right colon
@RanaAbbas10 Жыл бұрын
Sir, I have IBD and Yesterday I got my whole abdomen CT scan report... where it was mentioned that "No gut-related mass lesion seen.Long tortuous appendix noted,retaining oral contrast in 24 hour delayed slices-may be due to recurrent appendicular pathology in appropriate clinical setting." I Don't understand If I have appendicitis.
@medicerror101 Жыл бұрын
thnku so much for the lady
@lonewolf-9192 жыл бұрын
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....
@Anthony-md2bm2 жыл бұрын
I want to do my beard exactly like yours, how do you do it?
@ebtisam4038 жыл бұрын
thank you
@shahinshahsavari12757 жыл бұрын
At 0:32, he mentions right lower quadrant, where the appendix is located.
@abdulaibangura25697 жыл бұрын
Nice job! Most of the negative comments are from people who are full of themselves and perform their physical examination differently.
@bladesociety7 жыл бұрын
well said, sir
@surbhidhuppad7865 жыл бұрын
Umm also the fact that one of the tests is definitely wrong. psoas test involves hyperextension of the thigh.
@drmahmoudshabaan87164 жыл бұрын
very good
@salehmahdial-gburi15719 жыл бұрын
Examination from right side 😰😡
@MaverickGmail7 жыл бұрын
hahaha :D
@PhuongNguyen-sl7tu7 жыл бұрын
Why should the examination be done from the right side? I really dont know.
@MaverickGmail7 жыл бұрын
Phuong Nguyen it doesn't matter which side you perform it on, as long as you remember that appendix is on the right side.
@PhuongNguyen-sl7tu7 жыл бұрын
lol, yeah, but whenever I take examination test, my supervisor always tell me to start from the right side.
@mahazelrosaryapostol39566 жыл бұрын
Because it should be done like that. Try to google “Rovsing sign” for you to know. Or try reading Bates’s Guide to Physical Examination, page 468.
@chun-chengchu71435 жыл бұрын
Actually, Psoas sign should be performed in lateral decubitus position and Obturator's sign should be performed in lying position.
@DocAlGer Жыл бұрын
not necesseraly,
@peninapearl64915 жыл бұрын
why i feel both of them are not serious?
@HelpMeINeedDrB8 жыл бұрын
Nice, quick reminder...needed something for quick PE review-- thanks!
@himprabalkaushik46374 жыл бұрын
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...
@himprabalkaushik46374 жыл бұрын
@Anne Boleyn god has been merciful to me as i havent had the fate of experiencing the pain of appendicitis...but this is whats written in a highly respected book for surgery clinics in india as well as abroad
@samm2169 жыл бұрын
nice..but it will be better if u mention the significant of each signs in regards of the position of the appendix .. retroceacel (obturator).. pelvic (rovsing) and the psoas(pelvic)
@sheaschultz Жыл бұрын
obturator (pelvic) & psoas (retrocecal)
@talhagrewal16094 ай бұрын
nice model u got there
@20MNL8 жыл бұрын
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)
@tasnimchoudhury76828 жыл бұрын
no. you're supposed to internally rotate the hip to STRETCH the muscle and potentially irritate the appendix/peritoneum. the obturator muscle works to externally rotate the hip but that would contract the muscle. He is right in the video, you can do it on the patient's side as long as your stretching the muscle.
@drgre50065 жыл бұрын
Thank you sir
@bensonwu9293 Жыл бұрын
Can you teach me how to treat your patients?
@BlueRam153 жыл бұрын
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
@BlackShadow20093 жыл бұрын
Psoas test can be done both ways.
@drewdrew69042 жыл бұрын
@@BlackShadow2009 He prob buys left handed and right handed chopsticks too
@arupdhar25227 жыл бұрын
why on earth u r on the left side of the patient??
@blueworldadam7 жыл бұрын
Haha
@v4vndta9117 жыл бұрын
He's left-handed?
@sheilahernandez53187 жыл бұрын
Arup Dhar maybe he wants to face the camera 😒
@wellali25747 жыл бұрын
LOL .. I always get confused with that
@drshahzaib7 жыл бұрын
Camera can be on the left side.
@kunoweil72942 жыл бұрын
Tedt with the lot of Towel
@sari65224 жыл бұрын
I’m watching it in 2020 when the first suspect of an abdominal pain is Covid19. I wanted to know if I have appendicitis but I don’t have any of these signs.
@MuhammadRashidd3 жыл бұрын
Pain in hypogastrium in obturator sign
@hotstuff4007 жыл бұрын
that BULGE though. he's packing!
@RinaldoMcdonaldo2 жыл бұрын
STOP 😭
@AmanKhan-wo8vt2 жыл бұрын
🤣🤣🤣🤣😭
@gautamx3873 Жыл бұрын
Legs should be flexed during abdominal examination!
@haffi264 жыл бұрын
I would say, so many wrong things inside this video.smh.
@user-se8qs8rv7c5 жыл бұрын
“[…] using the right hand to press the fingers of the flat left hand against the (descending) colon and then, whilst maintaining the same pressure, sliding the hand[s] towards the left flexure […]” Rovsing T. Indirektes Hervorrufen des typischen Schmerzes an McBurney’s Punkt. Ein Beitrag zur Diagnostik der appendicitis und typhlitis. Zentralbl Chir. 1907;34(43):1257-1259.
@user-ht8vs4lo5n Жыл бұрын
تعبت شوكت اشوف الفديو وانه متخرجه
@nerdowlesa6 жыл бұрын
Why’s her socks multicolored and his bangle so heavy....
@stormin15158 жыл бұрын
Good effort but all of this is WRONG. Rovsing's sign is where you palpate deeply and then let off suddenly to see if there's referred pain in McBurneys Point due to rebound tenderness (aka inflammation of peritoneam). Psoas is PASSIVE EXTENSION of the right thigh while the patient is on the left side. I'm not sure if the obturator demonstration is wrong but the technique is odd and made more difficult than it has to be. For obturator, patient is lying flat with knees and hips flexed (pretty much pateint's feet are flat against the table, which the whole exam should be to relax the abdomen) and then you elicit passive internal rotation of the hip joint. As for credentials, I'm a M2 in medical school preparing for my Abdominal SP exam.
@jesusalbertomartinezcorona37987 жыл бұрын
That is Blumberg sign, not Rovsing.
@blueworldadam7 жыл бұрын
It seems he didn t study well
@ChrisNP877 жыл бұрын
@Alberto Martinez, Stomin1515 is correct. Rovsing's sign is exactly that.. press on LLQ of abdomen then quickly withdraw hand. It even states that in the Bate's Guide to Physical Examination 11th edition... Blumberg sign is done over an area of the abdomen a clinician suspects peritonitis. Psoas sign is asking the patient to lift right leg against the clinician's hand that is placed just above the right knee. You don't need to turn the patient to the side to check for obturator sign, you simply flex the right thigh at the hip with the knee bent and rotate leg internally at the hip while patient is supine (Bates 11th edition). :)
@matthewcastro7577 жыл бұрын
* rovsing's sign -- + pain at the Mcburneys point while applying pressure on the left lower Q. *blumberg/rebound tenderness -- + pain at the Mcburneys point after you release the left lower quadrant pressure. *psoas sign -- + pain when you instruct the patient to raise it's thigh again physicians resistance at R.knee. *oburator sign -- + pain when the patient @ supine, flexes its thigh at hip and rotate its leg internally. (no need for left side lying position) medicine 2 here
@MuhammadIsABear7 жыл бұрын
That's not Rovsing's, that's just rebound tenderness, indicating peritonitis which may or may not be related to appendicits.
@user-nr4cu7hd9b3 жыл бұрын
الله أكبرر
@Agtsmirnoff5 ай бұрын
I love redheads!
@sarahali81475 жыл бұрын
Why did he do the examination on the left side of the patient ? The appendix lies in the lower right part of th abdomen
@myemail77554 жыл бұрын
Yes yes you are right But this sign called rovsing He must pressure on left side and the patient must feel pain in right side
@DC-sr7gu6 жыл бұрын
shes cute
@canitomiguel7 жыл бұрын
i've seen a lot of ppl complaining about the side the examinator is, but is there a reason why the examinator must be in the right side?
@SerDerpish6 жыл бұрын
because of the Step 2 CS. If you are not on the right of the patient, they deduct points from your score. For some reason. It makes no sense but that's why
@thomasmartin34712 жыл бұрын
Because the earth is flat
@dwabshi794 жыл бұрын
As they said, rules for fools, Does it really matter if hes standing right or left??!! As long as u able to do ur exam properly and ur patient is comfortable u can stand anywhere, these what so called basic stuff was set up by people. Just be flexible otherwise u will be stuck in the same same spot.
@malekbelhaj53763 жыл бұрын
Beautiful patient 😍
@AbdullahAlMomenRobin4 жыл бұрын
Do the procedure from the right side
@DrRock-gs8cu Жыл бұрын
Psoas sign should be examine at lateral decubitus and obturator at supine
@abigaelkinda3396 ай бұрын
Thank you, was looking for such comment,because he got ne confused from what I know
@mddanish28292 жыл бұрын
Baldwin sign?????
@sunakshiaggarwal51533 жыл бұрын
its not psoas sign , its baldwings sign
@carolgreenhill56842 жыл бұрын
This needs a title relating to appendicitis, not psoas
@cyaranbazen85414 жыл бұрын
So many casuals wondering about him being on the left side.
@gerardgarnett38483 жыл бұрын
Alicia Rodriguez
@chuyblack32196 жыл бұрын
SU PACK JAJAJJA
@johnmagar77597 жыл бұрын
Whenever possible it is best to move yourself than to move the patient.
@yaredtadesse41388 жыл бұрын
why she wearing not matching socks doe!!!
@MuhammadIsABear7 жыл бұрын
Because med school will lead even tidy people to shit like not folding their clothing and picking it out of a pile.
@ArtyHusam5 жыл бұрын
Very cute patient 😉😉
@abdullahal-shimri30914 жыл бұрын
she looks like a model
@rustler084 жыл бұрын
Alright, creeper
@libertarianassfuck76352 жыл бұрын
@@rustler08 😏
@Rabinex_Prime Жыл бұрын
Exam should have to strat from right side
@FolakeBamigboye Жыл бұрын
Times used to be very Challenging, I had the worst days of my life living with type 2 Diabetes, I appreciate you so much Dr Igudia, You have restored me my life that was lost already . Thank you so much for curing me of my diabetes with your natural Herbs.
@davidepodesta2750 Жыл бұрын
Hi ma'am, what do you mean by "curing types 2 Diabates with natural herbs"? What herbs are you referring to? Just a curious med student here. Thank you.
@CSoulsword5 жыл бұрын
There is only one positive thing in this video, the girl is hot as hell, everything else is plain wrong.
@veronicarios76837 жыл бұрын
This gotta be a joke. There's so many mistakes in this video
@medcnspconfidencennunuselekane6 жыл бұрын
cut some slack for this guy at least he tried
@JB-cg1rn5 жыл бұрын
thank you miss perfection.
@rustler084 жыл бұрын
Alright Ms. Facebook Degree.
@hannaab93362 ай бұрын
It’s all correct 😂 are you ok
@samismnurse8 жыл бұрын
Helpful video but the guy (examiner) caught my attention. Hey guys, who among you here notice his bulge?? LOL
@AhmedMD8 жыл бұрын
+Pinoy Etchetera He looks gay though !!
@samismnurse8 жыл бұрын
haha.. well perhaps youre right!
@sakitperut1237 жыл бұрын
only a gay can notice that
@SerDerpish6 жыл бұрын
DAMN YOU I CAN'T UNSEE IT NOW
@sarahsmith50336 жыл бұрын
Pinoy Etchetera $
@bruceleehiiiyaaa9 жыл бұрын
you aren't going to show any OMM techniques to cure her of appendicitis??
@CleoandCoco9 жыл бұрын
bruceleehiiiyaaa Like what? What evidence based medicine out there indicates anything other than appendectomy? You can try some other stuff if you don't mind a ruptured appendix and further complications.
@bruceleehiiiyaaa9 жыл бұрын
Aaron Powell you can use OMM to gently push the contents back into the appendix and manipulate the ileocecal valve to close off the section so it heals naturally.
@CleoandCoco9 жыл бұрын
I'm all about avoiding surgery when possible, but your explanation doesn't make much sense when you understand the etiology of appendicitis. What kind of training do these people have who do this?
@violetvixen05968 жыл бұрын
+Aaron Powell Those trained in OMM have a medical degree as well as extensive knowledge of visceral and somatic dysfunction and their treatment. Below is a link to a recent study in regards to the necessity of surgery vs watchful waiting with ABX (spoiler alert: surgery is not always indicated). OMM is considered an adjuvant therapy to standard of care, so of course a DO would not attempt OMT on an acute patient presenting with appendicitis d/t possibility of rupture. I am currently a third year medical student at an Osteopathic medical school and I have not come across an osteopathic manipulation that is indicated for acute appendicitis.
1st thing the dude is on left? Psoas is wrong? This video is a disaster
@HealthOO74 жыл бұрын
Hmm that beauty cutie tho🥰🥰
@liousevropaecvstos77114 жыл бұрын
That waist dayum
@sobster1233 жыл бұрын
@@liousevropaecvstos7711 ikr curves
@gerardgarnett38483 жыл бұрын
Lacina Rowe
@MaverickGmail7 жыл бұрын
676 doctors are going to fail the abdominal exam! fix it before the number hits 1000 please!! try playing this video in front of a mirror and re-record the reflection! but good choice of patient.
@dineshlama71643 жыл бұрын
I agree with "good choice of patient " :)
@MuhammadHaris-rj8ku Жыл бұрын
We can we find such a patient 😅
@abasinsafdarkhan34687 жыл бұрын
the first one was not Rovsing !
@bengtperman24884 жыл бұрын
the first one was Emil Perman perman-rovsing sign
@paracelia3 жыл бұрын
Rovsing sign/ symptom isn't about to press, but caress the colon descendent or ascendent in caecum direction! What you did was the Blumberg sign! Is wrong information!
@memea54937 жыл бұрын
you are standing in the left side of the pt. 😕
@user-yk3sm2lm9o6 жыл бұрын
I dnt knw why and who created this rules???? why cant someone examine from left.. He needs the finding...not the side.
@jdsspace7183 жыл бұрын
Sr. Please precise the explaination by using anatomical terms.
@srishtichhabra28635 жыл бұрын
Rovsing’s sign is done on left lower quadrant
@kathconserv5 жыл бұрын
srishti chhabra which is what he did.
@ZENSIBLE4 жыл бұрын
Are you visually impaired?
@amypai25253 жыл бұрын
0:55 psoas sign
@Rigo_Glez8 жыл бұрын
la exploración se realiza de lado derecho de paciente, jajajaja y ademas trae calcetines que no son pares
@funlover74976 жыл бұрын
Research Blumberg sign
@hooshangranji26738 жыл бұрын
Comparing all other videos that I've seen, this one was more unprofessional. The examiner's position, the SP's gesture, the last exam and the camera's wrong angle and at last the SP's replacement on the couch were not done appropriately.
@briannacook423 жыл бұрын
whats the point of all this? we know you're just going to order a CT scan
@StephOzz3 жыл бұрын
🤣🤣🤣🤣🤣
@jmj75683 жыл бұрын
But you might as well do an US if pregnancy is considered and the urine pregnancy test results are delayed....CT abdomen/ pelvis in these cases are risky to say the least. Just my two cents.
@graveyardshadow2932 жыл бұрын
🥴🤣🤣🤣🤣🤣
@alexsmbewejustice52222 ай бұрын
These are physical examination used to confirm for appendicitis
@lloydstuartm.d.56256 жыл бұрын
CT scan and CBC usually does the trick for me.
@laylow13884 жыл бұрын
😂🤣. Couldn't help but think the same thing. Did all these stuffs early on in my career but considering how litigious practising medicine in western countries is, I wonder if physical examination findings are still enough as they once were
@Bromocriptine7772 жыл бұрын
So if patient presents with RLQ pain, just go straight to CT scan & CBC?
@deborahtsabur7774 Жыл бұрын
I’ve had two ct’s and an mri. None could visualize my appendix. Still having pain, no answers just a lot of “probablys.” You probably don’t have it because x,y,z. Frustrating to accept undefinitive explanations..
@lloydstuartm.d.5625 Жыл бұрын
@@Bromocriptine777 pretty much, yes if they still have an appendix. I've been burned on a normal physical examination and normal labs. They only time it's no is if the patient is pregnant - then we often admit and watch or get an MRI.
@lloydstuartm.d.5625 Жыл бұрын
@@deborahtsabur7774 If you've been experiencing RLQ abd pain for a while then it's not your appendix. Appendicitis progresses quickly so if you've had pain for a while then endometriosis should be considered. Talk with a gyn for their recommendations. Imaging often cannot "see" endometriosis. Good luck!
@readinreversetihs5693 жыл бұрын
Not negative sign but absence of sign..
@yoluis52027 жыл бұрын
Wrong rovsing's sign
@ComeAlongKay5 ай бұрын
If the people in the comments are doctors really helps reinforce how crazy arrogant and off putting that group is. Their way is the only way and the concept of constructive criticism rather than rude and derisive nitpicks seems foreign to them.
@dannyhigh53 жыл бұрын
I can''t focus on what he's saying because I get distracted on how hot and cute he is. What's his name?? 😄
@abdirhmnsalad30726 жыл бұрын
He on left bc camera on right side .. doughhhhh
@WAfzal6 жыл бұрын
Shes so hot
@bharathhaleshnaik62509 ай бұрын
⏳
@Trafie307Ай бұрын
First of all u have to examine right side
@yaksharoopam6063 жыл бұрын
First of all the examination procedure is WRONG. You should stand on the patient's right side, and NOT left side. I think this rule is universal.
@roobi08887 ай бұрын
you actually need to be on the right side of the patient mate