The Rovsing's sign involves RLQ
pain produced upon palpation of the left lower quadrant.
The classic clinical presentation of acute appendicitis, including RLQ
pain, nausea, vomiting, fever, and leukocytosis, is confounded by normal changes in maternal physiology during pregnancy.
A 71-year-old presented to the emergency department (ED) with a complaint of right lower quadrant (RLQ
) abdominal pain of one-day duration.
Caption: Figure 1: X-ray presenting a cluster of four batteries, two button batteries, and two cylindrical ones in Right Lower Quadrant (RLQ
) of abdomen.
This reveals a large, thick, cystic mass in the RLQ
densely adherent to a segment of small bowel, cecum (including the appendix), right fallopian tube, right ovary, and the retroperitoneal wall (Figure 2).
Results: Out of 80 patients whose ultrasound examination of right lower quadrant (RLQ
) was performed, 36 patients were correctly diagnosed as having acute appendicitis on USG out of 42 finally diagnosed cases based on histopathology.
A 38-year-old woman (G2 P2002) presented to the emergency department (ED) with acute pelvic pain involving the right lower quadrant (RLQ
Acute Caecal Volvulus diagnosis requires a heightened clinical suspicion on the basis of symptoms like RLQ
pain/mass which is relieved by passage of flatus and early radiological assistance in all cases of intestinal obstruction.
The differential for right lower quadrant (RLQ
) pain, like that of LLQ pain, includes colonic, gynecologic, and renal etiologies.
For example paramedics and doctors can locate a damaged organ, which is assessed by considering a mechanism of injury (blunt/ penetrating trauma) by palpation to the area of the abdomen in one of the four quadrants as seen in the diagram below: right upper quadrant (RUQ), right lower quadrant (RLQ
), left upper quadrant (LUQ) and left lower quadrant (RLQ
After 24 hours, the pain became localized in the right lower quadrant (RLQ