Rosenstein's sign

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Rosenstein's sign
Differential diagnosis acute appendicitis

Rosenstein's sign, also known as Sitkovskiy sign is a sign of acute appendicitis. [1]

It is observed, when tenderness in the right lower quadrant increases when the patient moves from the supine position to a recumbent posture on the left side. [2]

Etymology

The sign is named after the almost forgotten Jewish German physician and director of The Jewish Hospital, Berlin, Paul Rosenstein (1875–1964). Sitkovskiy's symptom [3] is the equivalent symptom.

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The Markle sign or jar tenderness is a clinical sign in which pain in the right lower quadrant of the abdomen is elicited by dropping from standing on the toes to the heels with a jarring landing. It is found in patients with localised peritonitis due to acute appendicitis. It is similar to rebound tenderness, but may be easier to elicit when the patient has firm abdominal wall muscles. Abdominal pain on walking or running is an equivalent sign.

References

  1. Sachdeva, Anupam; Dutta, AK (31 August 2012). Advances in Pediatrics. JP Medical Ltd. p. 1432. ISBN   978-93-5025-777-7.
  2. Diagnosis and Treatment of Acute Appendicitis JMAJ 46(5): 217–221, 2003 Hiroshi ISHIKAWA
  3. http://surgerylp.blog.net.ua/