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The obturator internus and nearby muscles A coronal section of the pelvis illustrating the proximity of the obturator internus to the abdominopelvic viscera. The obturator sign, also known as the Cope sign,[citation needed] is an indicator of irritation to the obturator internus muscle. [1] The technique is carried out on each leg in succession. First the patient lies on his back with the right hip flexed at 90 degrees. The examiner then holds the patient's right ankle in his right hand. With his left hand, the examiner rotates the hip by moving the right knee inward. This is flexion and internal rotation of the hip. In the clinical context, it is performed when acute appendicitis is suspected. In this condition, the appendix becomes inflamed and enlarged. The appendix may come into physical contact with the obturator internus muscle, which will be stretched when this maneuver is performed on the right leg. This causes pain and is an evidence in support of an inflamed appendix. The principles of the obturator sign in the diagnosis of appendicitis are similar to that of the psoas sign. See also Abdominal exam McBurney's point Psoas sign Rovsing's sign References ^ Allan B Wolfson (1 September 2009). Harwood-Nuss' Clinical Practice of Emergency Medicine. Lippincott Williams & Wilkins. pp. 1222–. ISBN 9780781789431. http://books.google.com/books?id=Idb0Z658lFQC&pg=PT1222. Retrieved 30 May 2011.  External links Acute appendicitis review in American Family Physician This medical sign article is a stub. You can help Wikipedia by expanding it.v · d · e v · d · eSymptoms and signs: digestive system and abdomen (R10–R19, 787,789) GI tract Upper GI tract Nausea/Vomiting · Heartburn · Dysphagia (Oropharyngeal, Esophageal) Halitosis Lower GI tract gas: Flatulence · Abdominal distension · Bloating · Belching · Tympanites stool: Fecal incontinence (Encopresis) · Rectal tenesmus blood: Fecal occult blood Diarrhea Football sign Psoas sign · Obturator sign · Rovsing's sign Accessory Hepatosplenomegaly/Hepatomegaly Jaundice Abdominopelvic Ascites Abdominal – general Abdominal pain (Acute abdomen, Colic, Baby colic) Splenomegaly Abdominal guarding · Abdominal mass · Rebound tenderness Shifting dullness · Bulging flanks · Puddle sign M: DIG anat(t, g, p)/phys/devp/enzy noco/cong/tumr, sysi/epon proc, drug(A2A/2B/3/4/5/6/7/14/16), blte v · d · eEponymous medical signs for digestive system and abdomen Digestive system GI tract Goodsall's rule · Chilaiditi syndrome · intussusception: Dance's sign appendicitis: Aaron's sign/McBurney's point · Rovsing's sign · Markle sign · Rosenstein's sign Hampton's line Accessory liver: Councilman body · Mallory body biliary: Boas' sign · Courvoisier's law · Charcot's cholangitis triad/Reynolds' pentad · cholecystitis (Murphy's sign · Lépine's sign) · Nardi test Abdominopelvic Peritoneum Blumberg sign · Rigler's sign Hernia Howship-Romberg sign · Hannington-Kiff sign Other Fothergill's sign · Carnett's sign Abdominal · general spleen/LUQ: Ballance's sign · Traube's sign · Castell's sign hemorrhage: Cullen's sign · Grey Turner's sign M: DIG anat(t, g, p)/phys/devp/enzy noco/cong/tumr, sysi/epon proc, drug(A2A/2B/3/4/5/6/7/14/16), blte