Inspection

• General Inspection
• Abdomen:
  • Asymmetry
  • SEADS
  • Visible masses
  • Contour
  • Bruising
  • Signs of trauma
    • Front and back
  • Abdominal distension

Palpation

• 3 point test at McBurney’s Point
• Rebound tenderness = Peritonitis

Psoas sign

Obstructor sign

Rovsing’s sign

https://www.youtube.com/watch?v=A9_G7TCFuvQ

Ped Pearl

• !Appendicitis in children is more likely to presents with
  • Fever
  • Abdominal Pain → Diffused Abdominal Pain
  • Anorexia (loss of appetite)
  • N/V - Nausea/vomitting