As you perform the obturator muscle test on a patient with acute abdominal pain,the patient complains of pain.Typically,irritation of the obturator internus muscle causes pain

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Typically,irritation of the obturator internus muscle causes pain in the hypogastric area.Another differential technique used to help determine if a patient is experiencing appendicitis is eliciting the obturator sign.This test is performed by flexing the patient's right leg at the hip and knee at a right angle.Rotate the leg both internally and externally.Observe for a pain response.Pain in the hypogastric area indicates irritation of the obturator muscle and can be caused by a ruptured appendix or pelvic abscess.Pain felt in the RLQ can be elicited when assessing rebound tenderness (McBurney's point),in a positive Rovsing's sign,and in the iliopsoas test.

As You Perform the Obturator Muscle Test on a Patient