28. Appendicitis Right lower quadrant pain with palpation of the left lower quadrant Rovsing's sign Pelvic inflammatory disease Manipulation of cervix causes patient to lift buttocks off table Chandelier sign Retroperitoneal haemorrhage Discoloration of the flank Grey-Turner's sign Appendicitis Internal rotation of flexed right hip causing abdominal pain Obturator's sign Appendicitis Hyperextension of right hip causing abdominal pain Iliopsoas sign Acute cholecystitis Abrupt interruption of inspiration on palpation of right upper quadrant Murphy's sign Appendicitis Tenderness located 2/3 distance from anterior iliac spine to umbilicus on right side McBurney's sign Splenic rupture Ectopic pregnancy rupture Severe left shoulder pain Kehr's sign Retroperitoneal haemorrhage Bluish periumbilical discoloration Cullen's sign Association Finding Sign Important Signs in Patients with Abdominal Pain