One source described doing psoas sign by having the patient lie on left side, then hyperextend the right left, with opposing resistance to left hip (with a very clear diagram)
Another source described psoas sign as the patient supine with right knee and hip flexed for comfort.
Another source described psoas sign as the patient supine then apply hand to patient's right thigh, ask patient to raise right thigh.
Which is psoas sign?
Would the nurse be checking this sign?
Quote from nightmare
Interesting that,we were always taught to press "Mcburnies Point" which is sort of a central point between the right hip bone and the pubic bone .A positive sign was guarding when you remove the pressure.
this is another question - in Jarvis: "choose a site away from the painful area" - this is how Blumberg's sign for rebound tenderness is done - on the left side of the abdomen (with photographs to demonstrate pressure on the left side of the abdomen, not the right side). The pain will be at McBurney's point, on the right side, but don't press there.
Then there's Rovsing's sign - press on the opposite side of the abdomen
And in Jarvis, we are taught to do rectal exams, so even if this is an invasive procedure - we have been taught this procedure. And I have also read that when rectal exam is not done, even though this procedure has some controversy, failure to do the rectal exam has resulted in successful malpractice claims (explained in this article: http://www.emedicine.com/emerg/topic41.htm
and this article says that Percussion tenderness should be done instead of rebound tenderness, which is unnecessarily cruel to children
Last edit by GingerSue on Nov 4, '07
: Reason: article