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Massouh's sign

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The sign describes a firm swish of the examiner’s index and middle finger across the patient’s abdomen from xiphoid sternum to first the left and then the right iliac fossa. A positive Massouh sign is a grimace of the patient upon a right sided (and not left) sweep. The explanation for the
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reliability of this diagnostic tool is based on the fact that appendicitis in the initial stage usually causes localised irritation of the peritoneum. The well innervated
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is very sensitive to pain and therefore sensitive to jouncing movements. Similarly this is the explanation for other signs of localised peritonitis such as
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There is currently no published evidence on the sensitivity or specificity of Massouh sign for suspected acute appendicitis.
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(2006). 14: 796: 68: 1: 61: 7: 364:Charcot's cholangitis triad 93:10.1136/bmj.38940.664363.AE 10: 801: 749:Sister Mary Joseph nodule 671: 648: 586: 553: 510: 467: 460: 403: 325: 166: 35:, the United Kingdom). 156:human digestive system 442:Obstructed defecation 25:Frimley Park Hospital 775:Diseases of appendix 704:Aure-Rozanova's sign 663:Hannington-Kiff sign 658:Howship–Romberg sign 616:Aortic insufficiency 518:Abdominal distension 77:"Acute appendicitis" 269:Chilaiditi syndrome 636:Grey Turner's sign 566:Hepatosplenomegaly 495:Abdominal guarding 427:Fecal occult blood 418:Fecal incontinence 389:Mirizzi's syndrome 299:Sherren's triangle 152:Signs and symptoms 762: 761: 734:Fothergill's sign 724:Rosenstein's sign 644: 643: 599:Mallet-Guy's sign 538:Shifting dullness 359:Courvoisier's law 87:(7567): 530–534. 792: 465: 464: 452:Rectal discharge 368:Reynolds' pentad 307:Radiologic signs 294:McBurney's point 168:Gastrointestinal 154:relating to the 145: 138: 131: 122: 121: 115: 114: 104: 72: 800: 799: 795: 794: 793: 791: 790: 789: 765: 764: 763: 758: 719:Lockwood's sign 667: 640: 611:Ballance's sign 582: 549: 543:Fluid wave test 506: 500:Blumberg's sign 456: 432:Rectal tenesmus 399: 339:Councilman body 321: 264:Goodsall's rule 252:Hypersalivation 169: 162: 149: 119: 118: 73: 69: 64: 12: 11: 5: 798: 788: 787: 782: 777: 760: 759: 757: 756: 754:Blumer's shelf 751: 746: 744:Massouh's sign 741: 739:Carnett's sign 736: 731: 726: 721: 716: 711: 706: 701: 696: 694:Hamburger sign 691: 689:Rovsing's sign 686: 684:Obturator sign 681: 675: 673: 669: 668: 666: 665: 660: 654: 652: 646: 645: 642: 641: 639: 638: 633: 628: 623: 621:Castell's sign 618: 613: 608: 603: 602: 601: 590: 588: 584: 583: 581: 580: 579: 578: 573: 563: 561:Abdominal mass 557: 555: 551: 550: 548: 547: 546: 545: 540: 535: 530: 525: 514: 512: 508: 507: 505: 504: 503: 502: 497: 492: 487: 482: 475:Abdominal pain 471: 469: 462: 458: 457: 455: 454: 449: 444: 439: 434: 429: 424: 415: 409: 407: 401: 400: 398: 397: 392: 386: 381: 370: 361: 356: 347: 346: 341: 329: 327: 323: 322: 320: 319: 314: 312:Hampton's line 302: 301: 296: 291: 286: 281: 276: 271: 266: 260: 259: 254: 249: 244: 239: 234: 233: 232: 227: 217: 216: 215: 210: 205: 195: 190: 185: 180: 174: 172: 164: 163: 148: 147: 140: 133: 125: 117: 116: 66: 65: 63: 60: 49:Rovsing's sign 17:Massouh's sign 9: 6: 4: 3: 2: 797: 786: 783: 781: 778: 776: 773: 772: 770: 755: 752: 750: 747: 745: 742: 740: 737: 735: 732: 730: 727: 725: 722: 720: 717: 715: 712: 710: 709:Dunphy's sign 707: 705: 702: 700: 699:Heel tap sign 697: 695: 692: 690: 687: 685: 682: 680: 677: 676: 674: 670: 664: 661: 659: 656: 655: 653: 651: 647: 637: 634: 632: 631:Cullen's sign 629: 627: 624: 622: 619: 617: 614: 612: 609: 607: 604: 600: 597: 596: 595: 592: 591: 589: 585: 577: 574: 572: 569: 568: 567: 564: 562: 559: 558: 556: 552: 544: 541: 539: 536: 534: 531: 529: 526: 524: 521: 520: 519: 516: 515: 513: 509: 501: 498: 496: 493: 491: 488: 486: 483: 481: 480:Acute abdomen 478: 477: 476: 473: 472: 470: 466: 463: 459: 453: 450: 448: 445: 443: 440: 438: 435: 433: 430: 428: 425: 423: 419: 416: 414: 411: 410: 408: 406: 402: 396: 393: 390: 387: 385: 384:LĂ©pine's sign 382: 380: 379:Murphy's sign 376: 375: 374:cholecystitis 371: 369: 365: 362: 360: 357: 355: 352: 349: 348: 345: 342: 340: 337: 335: 331: 330: 328: 324: 318: 315: 313: 310: 308: 304: 303: 300: 297: 295: 292: 290: 289:Markle's sign 287: 285: 284:Arapov's sign 282: 280: 277: 275: 272: 270: 267: 265: 262: 261: 258: 255: 253: 250: 248: 245: 243: 240: 238: 235: 231: 228: 226: 225:oropharyngeal 223: 222: 221: 218: 214: 211: 209: 206: 204: 201: 200: 199: 196: 194: 191: 189: 186: 184: 181: 179: 176: 175: 173: 171: 165: 161: 157: 153: 146: 141: 139: 134: 132: 127: 126: 123: 112: 108: 103: 98: 94: 90: 86: 82: 78: 71: 67: 59: 56: 54: 50: 46: 45:Murphy's sign 42: 36: 34: 30: 26: 22: 18: 743: 714:Alder's sign 576:Splenomegaly 571:Hepatomegaly 437:Constipation 372: 350: 344:Mallory body 332: 317:Klemm's sign 305: 279:Aaron's sign 274:Dance's sign 203:Trichophagia 84: 80: 70: 57: 37: 21:appendicitis 16: 15: 729:Cupola sign 626:Kehr's sign 606:Puddle sign 237:Odynophagia 769:Categories 679:Psoas sign 511:Distension 490:Baby colic 422:encopresis 413:Flatulence 405:Defecation 395:Nardi test 354:Boas' sign 247:Xerostomia 242:Bad breath 230:esophageal 208:Pagophagia 193:Aerophagia 62:References 53:psoas sign 41:peritoneum 326:Accessory 220:Dysphagia 213:Geophagia 188:Heartburn 594:Jaundice 523:Bloating 447:Diarrhea 351:biliary: 183:Vomiting 111:16960208 785:Surgery 533:Tympany 528:Ascites 461:Abdomen 257:Burping 160:abdomen 102:1562475 29:Frimley 650:Hernia 554:Masses 178:Nausea 109:  99:  33:Surrey 672:Other 587:Other 485:Colic 334:liver 170:tract 468:Pain 420:and 198:Pica 107:PMID 158:or 97:PMC 89:doi 85:333 81:BMJ 55:. 51:or 27:in 771:: 105:. 95:. 83:. 79:. 47:, 391:) 377:( 366:/ 336:: 309:: 144:e 137:t 130:v 113:. 91:: 31:(

Index

appendicitis
Frimley Park Hospital
Frimley
Surrey
peritoneum
Murphy's sign
Rovsing's sign
psoas sign
"Acute appendicitis"
doi
10.1136/bmj.38940.664363.AE
PMC
1562475
PMID
16960208
v
t
e
Signs and symptoms
human digestive system
abdomen
Gastrointestinal
tract

Nausea
Vomiting
Heartburn
Aerophagia
Pica
Trichophagia
Pagophagia
Geophagia

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