SignDescription
McBurney signLocalized right lower quadrant pain or guarding on palpation of the abdomen (the single most important sign)
Psoas signPain on hyperextension of right thigh (often indicates retroperitoneal retrocecal appendix)
Obturator signPain on internal rotation of right thigh (pelvic appendix)
Rovsing signPain in the right lower quadrant with palpation of the left lower quadrant
Dunphy’s signIncreased pain in the right lower quadrant with coughing
Hip flexionPatient maintains hip flexion with knees drawn up for comfort
Other peritoneal signsRebound tenderness, hyperesthesia of the skin in the right lower quadrant