What are clinical features of appendicitis?

Main symptom is abdominal pain: Initially peri-umbilical Later migrates to the right iliac fossa Other possible symptoms: Vomiting (typically after the pain, not preceding it) Anorexia Nausea Diarrhea, or constipation Patient may be: tachycardic, tachypnoeic, and pyrexial On examination: Mc Burney’s sign Rovsing’s sign Blumberg’s sign Psoas’s sign Obturator’s sign Cri de Douglas Dunphy’s sign (coughing)