Pinching the Appendix in the Diagnosis of Chronic Appendicitis

Bassler, Anthony

doi:10.1097/00000441-191308000-00004

Cited by 3 publications

(2 citation statements)

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“…32 Bassler (1913) described a method for compressing the appendix to assist in diagnosing chronic appendicitis ( Bassler stated that this method was particularly useful in obese patients and in cases were percussion cannot identify the cecum. 33 Through downward and right lateral pressure, it was useful to detect chronic appendicitis. 33 We are unaware of any studies that have evaluated the sensitivity or specificity of this sign.…”

Section: Boyce Signmentioning

confidence: 99%

“…33 Through downward and right lateral pressure, it was useful to detect chronic appendicitis. 33 We are unaware of any studies that have evaluated the sensitivity or specificity of this sign. 34 Cope published his first book on the surgical aspect of dysentery including liver abscess in 1920, based on his experience caring for soldiers inflicted with this condition.…”

Section: Boyce Signmentioning

confidence: 99%

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Abdominal Physical Signs and Medical Eponyms: Movements and Compression

et al. 2018

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Prior to the advent of modern imaging techniques, maneuvers were performed as part of the physical examination to further assess pathological findings or an acute abdomen and to further improve clinicians' diagnostic acumen to identify the site and cause of disease. Maneuvers such as changing the position of the patient, extremity, or displacing through pressure a particular organ or structure from its original position are typically used to exacerbate or elicit pain. Some of these techniques, also referred to as special tests, are ascribed as medical eponym signs. Data sources: PubMed, Medline, online Internet word searches, textbooks and references from other source text. PubMed was searched using the Medical Subject Heading (MeSH) of the name of the eponyms and text words associated with the sign. Conclusion: These active and passive maneuvers of the abdomen, reported as medical signs, have variable performance in medical practice. The lack of diagnostic accuracy may be attributed to confounders such as the position of the organ, modification of the original technique, or lack of performance of the maneuver as originally intended.

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Section: Boyce Signmentioning

confidence: 99%

Section: Boyce Signmentioning

confidence: 99%