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November 29, 1924


Author Affiliations

New York Visiting Surgeon, Greenpoint Hospital, Brooklyn

JAMA. 1924;83(22):1766. doi:10.1001/jama.1924.26610220001014

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The sign here described as of value in diagnosing appendicitis, although found most reliable, does not exclude the necessity of a thorough examination. Briefly, one should not palpate the abdomen around McBurney's point. The patient flexes the thighs. The hand is applied to the region of the hepatic flexure of the colon. While the patient breathes as deeply as possible, the hand is pressed very gently under the costal margin. The patient is told to cough, and is then asked whether any pain is felt; the answer may be yes or no. When it is "yes," the patient, on being asked where the pain is felt, without hesitation will indicate McBurney's point when a true appendicitis is present. In acute cases it will be unnecessary to ask the patient whether pain is felt. The patient will eagerly and spontaneously say: "It hurts me here," indicating McBurney's point. When the case

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