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next we have three tests that are going to help you assess whether or not a patient may have appendicitis the first of those is referred to as reversing sign so what were going to do to list it wrong sitting sign is were using kind of a dipping motion with our hands like this and were applying firm pressure the lower left quadrant of our patient Angela do you feel any pain there so thats a negative rousing sign test in the case of a positive test the patient would feel pain in their right lower quadrant tensing that fashio will cause an inflamed appendix to be rubbed up against by the fascia and because the inflamed appendix may have actually some facial irritation as well so pressing down that left side will recreate that pain the second test that were going to perform to test for appendicitis is referred to as so as sign so we are going to place our hand on the patients right knee and Angela if you just lift your leg against my resistance any pain or discomfort there okay you
