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Surgery Small & Large Intestine e431916e

A 28-year-old man is admitted to the emergency department complaining of pain in the umbilical region that moves to the right iliac fossa. Which is a corroborative sign of acute appendicitis?

A
Referred pain in the right side with pressure on the left (Rovsing) sign
B
Increase of pain with testicular elevation
C
Relief of pain in lower abdomen with extension of thigh
D
Relief of pain in lower abdomen with internal rotation of right thigh
High-Yield Explanation
Rousing's sign is corroborative of acute appendicitis. The other signs are corroborative of appendicitis. Hyperesthesia is a useful sign provided that it is performed objectively. The area of hyperesthesia is a triangular area (base placed upward) in the right lower abdomen.

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