Gonda's sign

Gonda's sign is a medical sign used in the diagnosis of appendicitis. It is named after Dr. Gonda, who first described it. The sign is positive when there is pain in the right lower quadrant of the abdomen upon palpation of the left lower quadrant. This is due to the inflammation of the appendix causing irritation to the peritoneum, leading to referred pain.

Definition

Gonda's sign is a clinical sign in which pain in the right lower quadrant of the abdomen is elicited by palpation of the left lower quadrant. This sign is often used in the diagnosis of appendicitis, but it is not specific to this condition. It can also be seen in other conditions that cause irritation to the peritoneum, such as diverticulitis or ectopic pregnancy.

Clinical Significance

The presence of Gonda's sign can help in the diagnosis of appendicitis, but it is not definitive. A positive Gonda's sign should prompt further investigation, such as ultrasound or computed tomography (CT) scan, to confirm the diagnosis. It is also important to note that a negative Gonda's sign does not rule out appendicitis, as the sign may not be present in all cases.

Limitations

While Gonda's sign can be a useful tool in the diagnosis of appendicitis, it has its limitations. It is not specific to appendicitis and can be seen in other conditions that cause irritation to the peritoneum. Additionally, the sign may not be present in all cases of appendicitis, particularly in early stages of the disease or in cases where the appendix is located in an atypical position.

See Also

• Rovsing's sign
• McBurney's point
• Psoas sign
• Obturator sign

References

Gonda's sign Resources
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