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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
In a case of retrocecal appendicitis which movement aggravates pain:
assistant
The correct answer is  In retrocecal appendicitis, inflamed appendix is in contact with psoas muscle causing flexion of the hip joint. Hyperextension of the hip joint may induce abdominal pain. This is known ‘illopsoas sign' and is typical of retrocecal appendicitis.
Other signs seen in appendicitis:
Obturator sign: pain on internal rotation of the hip (suggesting a pelvic appendix)
Dunphy's sign: Any movement, including coughing (Dunphy's sign), may cause increased pain
Rovsing's sign: pain in the right lower quadrant during palpation of the left lower quadrant