Markle sign

The Markle sign or jar tenderness is a clinical sign in which pain in the right lower quadrant of the abdomen is elicited by dropping from standing on the toes to the heels with a jarring landing. It is found in patients with localised peritonitis due to acute appendicitis.^[1] It is similar to rebound tenderness, but may be easier to elicit when the patient has firm abdominal wall muscles. Abdominal pain on walking or running is an equivalent sign.^[2]

References

1. ^ Acute appendicitis on Medscape
2. ^ Richard F. LeBlond, Richard L. DeGowin, Elmer Louis DeGowin, Jim Abel. DeGowin's Diagnostic Examination, page 481. McGraw Hill Professional, 2008. ISBN 9780071478984. Google books

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