Less common Signs of Appendicitis are:

• Rovsing sign (RLQ pain with palpation of the LLQ): Suggests peritoneal irritation

• Obturator sign (RLQ pain with internal and external rotation of the flexed right hip): Suggests the inflamed appendix is located deep in the right hemipelvis

• Psoas sign (RLQ pain with extension of the right hip or with flexion of the right hip against resistance): Suggests that an inflamed appendix is located along the course of the right psoas muscle

• Dunphy sign (sharp pain in the RLQ elicited by a voluntary cough): Suggests localized peritonitis

• Markle sign (pain elicited in a certain area of the abdomen when the standing patient drops from standing on toes to the heels with a jarring landing):