Rovsing Sign Revisited—Effects of an Erroneous Translation on Medical Teaching and Research

Prosenz, Julian; Hirtler, Lena

doi:10.1016/j.jsurg.2014.03.002

Cited by 6 publications

(7 citation statements)

References 12 publications

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“…Standardization of technique is essential to ensure reproducibility and consistency in reporting when evaluating the sensitivity or specificity of a bedside sign. To assess the extent of this problem, Prosenz and Hirtler evaluated the accuracy of the description of Rovsing sign in English and German literature [19]. None of the English studies or textbooks evaluated in this study included a correct description of the sign [19].…”

Section: Signs Described In Acute Appendicitismentioning

confidence: 99%

Physical Examination and Appendiceal Signs During Pregnancy

Yale¹,

Tekiner²,

Yale³

2022

Cureus

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The clinical diagnosis of acute appendicitis is challenging as patients present with an array of objective and subjective symptoms early or late in the disease course. Ultrasound is routinely performed in all patients with suspected acute appendicitis. Equivocal test results frequently require further assessments using other imaging techniques that are limited in scope during pregnancy because of issues involving safety, availability, and accessibility. Physical examination diagnostic signs in acute appendicitis during pregnancy have not been well studied. Studies failed to describe, standardize, or correlate the technique used to the pathologic disease process. Therefore, gaps remain in current knowledge regarding the usefulness and application of these tests during the physical examination. Improvement in diagnostic acumen is critically important, particularly in cases where there remains diagnostic uncertainty because of equivocal imaging results. This article reviews signs used to diagnose patients with acute appendicitis using a pathophysiologic approach based on visceral and cerebrospinal nerve pathways to explain the mechanism for a positive test result. It also suggests a framework to study them further to better understand their role, if any, in clinical practice.

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Section: Signs Described In Acute Appendicitismentioning

confidence: 99%

Physical Examination and Appendiceal Signs During Pregnancy

Yale¹,

Tekiner²,

Yale³

2022

Cureus

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“…53 (p. 1258) (emphasis added) (Table 1) Clinicians often inaccurately performed this test in clinical practice by only applying pressure in the left lower quadrant. 54,55 It has been described as a way of testing for rebound tenderness by applying pressure in the left lower quadrant and then quickly releasing the hand. 56 There have been several theories to account for the pathogenesis of Rovsing sign.…”

Section: Rovsing Signmentioning

confidence: 99%

“…53 (p .1258) Thus, the maneuver generates antiperistaltic movement causing elevated tension due to the accumulation of intestinal gases in the colon, and early sufficient resistance at the ileocecal valve results in pain in the right lower quadrant. 55 Other theories include impingement of the inflamed appendix in the right iliac fossa as a result of rightward movement in the coils of ileum, 54 or apposition and friction of the inflamed appendix caused by pressure and shifting against the parietal peritoneum. 55 Rovsing goes on to explain the significance of the test in the differential diagnosis: It is of great importance in the case of differential diagnosis, in the many cases of acute as well as chronic appendicitis, where intumescence and pain in the right fossa iliac are of unsafe nature, and are characterized by renal pains, ureteral stones, ureteritis, or salpingitis, etc.…”

Section: Rovsing Signmentioning

confidence: 99%

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Abdominal Physical Signs and Medical Eponyms: Physical Examination of Palpation Part 1, 1876–1907

et al. 2018

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Background: Abdominal palpation is a difficult skill to master in the physical examination. It is through the tactile sensation of touch that abdominal tenderness is detected and expressed through pain. Its findings can be used to detect peritonitis and other acute and subtle abnormalities of the abdomen. Some techniques, recognized as signs or medical eponyms, assist clinicians in detecting disease and differentiating other conditions based on location and response to palpation. Described in this paper are medical eponyms associated with abdominal palpation from the period 1876 to 1907. Data Sources: PubMed, Medline, on-line Internet word searches, textbooks and references from other source text were used as the data source. PubMed was searched using the Medical Subject Heading (MeSH) of the name of the eponyms and text words associated with the sign. Conclusion: We present brief historical background information about the physician who reported the sign, original description of the sign, and its clinical application and implication in today's medical practice.

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“…Additionally, computed tomography (CT), given reported sensitivity and specificity rates of 94% and 95%, respectively, has been shown to help diagnose other pathologic conditions and prevent unnecessary hospitalizations [ 14 , 15 , 16 ]. Despite the fact that ultrasonography and CT have become more readily available, clinical examination remains the cornerstone of the diagnostic process and should not be neglected [ 17 ].…”

Section: Appendicitismentioning

confidence: 99%

Treatment Modalities and Antimicrobial Stewardship Initiatives in the Management of Intra-Abdominal Infections

et al. 2016

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Antimicrobial stewardship programs (ASPs) focus on improving the utilization of broad spectrum antibiotics to decrease the incidence of multidrug-resistant Gram positive and Gram negative pathogens. Hospital admission for both medical and surgical intra-abdominal infections (IAIs) commonly results in the empiric use of broad spectrum antibiotics such as fluoroquinolones, beta-lactam beta-lactamase inhibitors, and carbapenems that can select for resistant organisms. This review will discuss the management of uncomplicated and complicated IAIs as well as highlight stewardship initiatives focusing on the proper use of broad spectrum antibiotics.

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Rovsing Sign Revisited—Effects of an Erroneous Translation on Medical Teaching and Research

Cited by 6 publications

References 12 publications

Physical Examination and Appendiceal Signs During Pregnancy

Physical Examination and Appendiceal Signs During Pregnancy

Abdominal Physical Signs and Medical Eponyms: Physical Examination of Palpation Part 1, 1876–1907

Treatment Modalities and Antimicrobial Stewardship Initiatives in the Management of Intra-Abdominal Infections

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