Location of McBurney's point (1), located two thirds the distance from the umbilicus (2) to the right anterior superior iliac spine (3) The presentation of acute<unk>  includes acute abdominal pain, nausea, vomiting, and fever. As the<unk> pendix becomes more swollen and inflamed, it begins to irritate the adjoining abdominal wall. This leads to the localization of the pain to the right lower quadrant. This classic migration of pain may not be seen in children under three years. This pain can be elicited through signs, which can feel sharp. Pain from<unk>  may begin as dull pain around the navel. After several hours, pain will usally transition towards the right lower quadrant, where it becomes localized. Symptoms include localized findings in the right iliac fossa. The abdominal wall becomes very sensitive to gentle pressure (palpation). There is pain in the sudden release of deep tension in the lower abdomen (Blumberg sign). If the<unk> pendix is retrocecal (localized behind the cecum), even deep pressure in the right lower quadrant may fail to elicit tenderness (silent<unk> pendix). This is because the cecum, distended with gas, protects the inflamed<unk> pendix from pressure. Similarly, if the<unk> pendix lies entirely within the pelvis, there is typically a complete absence of abdominal rigidity. In such cases, a digital rectal examination elicits tenderness in the rectovesical pouch. Coughing causes point tenderness in this area (McBurney's point), historically called Dunphy's sign.
Appendicitis
Cholecystitis
Cervicitis
Psoas muscle abscess
Gastroenterocolitis
Abdominal aortic aneurysm
Proctocolitis
Adenitis