Psoas Sign

This video shows you how to elicit the Psoas Sign which can been seen in some patients with appendicitis

[@aamirkhann]

Give this patient an oscar 😛

[@ricardoasuncion3462]

LOL

[@alexandermel9987]

😅😅😅

[@bangbass5598]

LMAO

[@DoctorODonovan]

Thanks for watching!

[@jhaybend745]

555555

[@lawyerdoctor]

The patient is priceless and added a needed laugh to my day. good video doc!

[@DoctorODonovan]

Thanks! He will be glad to hear this!

[@gloirechabu4053]

I love it, your patient deserves an oscar

[@DoctorODonovan]

Thanks - he will be glad to hear this!

[@maryaa7505]

hey a new student nurse here.! I searched for psoas sign then I saw this... the patient made my day 🤣 💖

[@DoctorODonovan]

Thanks!

[@okosuntom2808]

The patient deserves a gold medal

[@DoctorODonovan]

I’ll let him know

[@highlandstag51]

That fella really does have an appendicitis!

[@DoctorODonovan]

highlandstag51 Thankfully just an actor!! But he will be pleased to know that he has performed in an Oscar worthy performance :D

[@matse.meguenni7028]

+highlandstag51 In his age rather cancer...
haha! th-cam.com/video/m4ldpvIYEDM/w-d-xo.html

[@nishattasnimmaria2251]

@@DoctorODonovan a Grammy too

[@jayanthanvickraman7286]

Straightforward and memorable! Couldn't ask for a better video.

[@DuckODuckProductions]

Nice vid LOL! Finally a video that shows BOTH ways of eliciting this sign!

[@DoctorODonovan]

Glad you liked it!

[@mickykhan153]

That patient has earned you a new subscriber and a student 😂❤❤

[@pokemonlover7126]

That guys reactions though😂😂😝

[@DoctorODonovan]

Thanks !

[@rupak_taslim]

Oscar winning performance by this dude😂😂

[@DoctorODonovan]

Thanks

[@nicolaaslouw9945]

Informative and entertaining.

[@slowmofk4714]

Thank you,patient!You made my day! 🤣🤣

[@DoctorODonovan]

You’re welcome 😊

[@hassmacht]

Oooooooooaaaaaaaahhh

[@DoctorODonovan]

:)

[@josesanlazaro]

:)

[@draculaemedinensis9822]

Haahahahahaha

[@kasumi5731]

Very useful video, thank you for this! And he's a great actor lol

[@DoctorODonovan]

Glad it was helpful!

[@carlosalarcon2737]

This video is one of the best on internet and the galaxy...🤣🤣👍

[@DoctorODonovan]

Thank you 🤣

[@swapnilbhowmik8038]

Bollywood Level Performance..
If only we could get this patient during Surgery Exams..😂

[@DoctorODonovan]

My dad will be pleased he is still entertaining students 10 years later

[@adrianamilkie746]

Very believable!! That patient was better than the ones on the paid infomercials!

[@DoctorODonovan]

Thanks

[@opencurtin]

Poor man get better soon !

[@loveadonai8060]

Loud and clear . The pxt cried out loud in pains 😂😂😂
Confam diagnosis of positive psoas sign

[@aishah00807]

Thank you 🙏🏻

[@DoctorODonovan]

Pleasure

[@xyliasaharatocao4626]

great actor 👍🏻👍🏻👍🏻

[@DoctorODonovan]

Thanks!

[@khalidsherkhan7216]

Oh if patient screams like this during OSCE, abandon any hope of passing 😂😂

[@DoctorODonovan]

Indeed

[@brewedmeditation2886]

Indeed, I faced this screaming though mine case was real patient 😭,

[@Cronoboro]

Thx for this video

[@DoctorODonovan]

It's my pleasure

[@6thsun25]

A bit more acting by this "patient" and he ll be taken to the operation room in no time.And there the surgeons wont be actors....

[@DoctorODonovan]

Thank you for your kind feedback!

[@su2597]

I dont think the first way is correct - think you get them to flex against resistance?

[@VON-ic1gh]

YES!

[@RickyRicardo84]

yeah it's definitely against resistance. A+ for the acting tho.

[@DoctorODonovan]

Apologies. It is against resistance

[@mehboob0077]

Bro deserves to be signed in Hollywood movie😂

[@jayarengasamy5568]

whilst supine, does he not have to actively flex his own leg at the hip whilst you resist the movement with downward pressure on the knee or thigh?
active flexion, passive extension causing pain/tenderness - that is my understanding of a positive psoas sign, not simply lifting his leg for him.

[@lmjpeter]

Jaya Rengasamy not if patient already has pain getting into that position

[@DoctorODonovan]

Thank you for watching the video and your comment. Sorry for my (very) delayed reply. Here is some more information I researched on Psoas sign to help answer your question: www.sciencedirect.com/topics/medicine-and-dentistry/psoas-sign

[@Uniqueguy34]

Haha. It made me laugh . Great job.

[@DoctorODonovan]

Glad you enjoyed it

[@pennyrobson4703]

Omg that made me laugh, love the patient.

[@DoctorODonovan]

Thanks 😊

[@moristhetiger]

Thanks sir

[@DoctorODonovan]

A pleasure Sir.

[@steth6017]

Thank you :)

[@DoctorODonovan]

No problem 😊

[@Damnnnbruh]

*gently extends leg*
AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

[@desirae179]

this actor was the best

[@DoctorODonovan]

Thanks - my dad will be pleased to hear this feedback. Worthy of an Oscar? Golden Globe? ;)

[@NemoCapt001]

I like after the patient screams, "oahhhhh" the video just end.

[@DoctorODonovan]

Thanks :)

[@NemoCapt001]

@@DoctorODonovan I literally forget I commented here 😄

[@navinaravichandran5272]

Very useful I think first test is baldwing test

[@DoctorODonovan]

Great point! Thanks.

[@alfonsomiguelledesmaparra521]

What are the chances his actual diagnosis was a fractured right hip?

[@DoctorODonovan]

Thanks for the comment! The patient was an actor for this demonstration!

[@elmanahmed6117]

This test can be done for BOTH appendicitis positive and also PSOAS abscess.

[@DoctorODonovan]

Thanks

[@ganeshghegde]

What's the difference between a straight leg raising test and psoas test?

[@DoctorODonovan]

Thank you so much for watching the video and taking time to leave a comment. Unfortunately (and I know this will be frustrating for you), I am unable to give individual medical advice out on this channel. This is because of medico-legal reasons, not knowing your full case, circumstances and it would be unethical of me to do so. I have to advise that you speak to your own health provider (e.g. doctor, nurse) so that they can properly assess your case. Thanks for understanding.

[@maryammangi432]

Cant stop watching 😂😂

[@DoctorODonovan]

Thanks! Keep watching!

[@salomechisanga6487]

😂😂😂

[@AdityaMahat]

I will nominate for Emmy as well!

[@DoctorODonovan]

He will be glad to hear

[@AdityaMahat]

@@DoctorODonovan of course thank you for the video. Incredibly helpful.

[@knoxcompound2312]

If ths guy actually had psoas pain he wouldn't be turning so easily to the side. 😆Helpful video though. Thanks

[@bharatkaushal2518]

Ayo, that’s his DAD,
spent all his money for him, that’s why he’s in pain 😂😂😂

[@DoctorODonovan]

That is one differential diagnosis

[@KhanTime20]

First method of psoas test shown is wrong. Because in the first type of this test, the patient lies on his back and the patient ACTIVELY flex his hips while examiner is applying pressure against the movement. In your video, you lifted the leg rather than asking the patient to lift it ACTIVELY.
Second method of psoas test shown is correct as that is a passive method in which examiner moves the leg.

[@bharatkaushal2518]

😂😂😂 when you realise there was no need for him to be without T shirt.

[@DoctorODonovan]

Indeed

[@hiranyarajeevan8284]

did he fracture?

[@DoctorODonovan]

No this is a sign for ?appendicitis :)

[@harishthanu8866]

But in psoas sign extension need to be done by patient passively but you done it actively …..?

[@DoctorODonovan]

Thanks for commenting and the feedback

[@tofo2]

You have to swing the bodyparts faster to put the patient in complete fear of any movement.
😅

[@babbulvideos]

how is "roll on side"? i speak spanish i need to know this

[@DoctorODonovan]

Raul Ramirez Hello Raul - A better way of saying "roll on your side" which is colloquial English would be "Please can you turn over?" which according to Google Translate is "Por favor, ¿puedes entregar" I hope this helps

[@deboradubois2676]

+Raul Ramirez you can also say to the patient, puedes ponerte de lado porfavor?

[@DoctorODonovan]

Thanks Debora! Really helpful :D

[@theRealCitrog]

+Raul Ramirez Decubito lateral izquierdo

[@DoctorODonovan]

+E Peralta Gracias

[@nouhdawoud1632]

What you did in the first was BALDWINGS test

[@DoctorODonovan]

Thanks for the feedback

[@Predator-vg1lb]

I think he was Caprio....what an act!!!

[@DoctorODonovan]

Merci

[@NordKristal1kristal]

Like 👌👍💯

[@DoctorODonovan]

Thanks

[@brewedmeditation2886]

The patient must be in film-noir!

[@ADY_SR]

He cried as if he got shot

[@DoctorODonovan]

Indeed

[@omaromar-ot8ih]

💜💙💛💜💙💛

[@DoctorODonovan]

Thank you Omar!

[@caseyandtoryshalloween1236]

Scared me so bad

[@DoctorODonovan]

Thanks for watching

[@rsdenimblues8342]

😲

[@mhhalabi9481]

The first method is defective. The patient must flex the hip actively against doctor's hand resistance.

[@DrEsraa-si4id]

I was wondering too

[@DoctorODonovan]

Thanks for the feedback

[@korajames9993]

LOOL

[@DoctorODonovan]

Thanks

[@DrMike-np5ux]

Give that patient Bollon dor💪

[@DoctorODonovan]

Thanks!

[@danielparra5146]

Pero hazlo lento, casi se muere de dolor jajaja

[@DoctorODonovan]

Thanks for watching

[@nicholaswhs0896]

😂😂😂😂

[@DoctorODonovan]

Thanks for watching

[@Veteran365]

Poor guy

[@DoctorODonovan]

It's my dad - probably explains why he is in so much pain...

[@moosemoose5003]

nobody will believe him when he really get sick lol donovan : nice acting dude

[@DoctorODonovan]

Thanks for the comment (Y)

[@nothing671]

Hahaha even though we know appendix is more common in age b/w 10-30 years he’s prolly 50 year old still trying best to express pain with out appendix

[@DoctorODonovan]

This was for demonstration purposes only

[@nothing671]

@@DoctorODonovan thanks bro I like it

[@johnmd4331]

I know that patients dont have appendicitis lol

[@DoctorODonovan]

Hi Amah - yes he didn't! That would have been too dangerous to spend time filming a patient with suspected appendicitis (and in breach of confidentiality ;) ) Rather we use actors in our videos to demonstrate what you should expect to see. It's the closest thing to the real thing :) Thanks for watching.