Howship–Romberg sign

Not to be confused with the neurological Romberg sign.

Howship–Romberg sign

Differential diagnosis| obturator hernia

The Howship–Romberg sign is inner thigh pain on internal rotation of the hip. It can be caused by an obturator hernia.[1][2][3] It is named for John Howship and Moritz Heinrich Romberg.[4][5][6]

## References

1. ↑ "Obturator hernia in an ageing society". Ann. Acad. Med. Singap. 36 (6): 413–5. June 2007. PMID 17597966. http://www.annals.edu.sg/pdf/36VolNo6Jun2007/V36N6p413.pdf.
2. ↑ "Photo Quiz - April 1, 1999 - American Academy of Family Physicians". http://www.aafp.org/afp/990401ap/photo.html.
3. ↑ "Howship-Romberg sign caused by an obturator hernia". Am. J. Surg. 187 (6): 775–6. June 2004. doi:10.1016/j.amjsurg.2003.10.020. PMID 15191874.
4. ↑ synd/1579 at Who Named It?
5. ↑ J. Howship. Practical Remarks on the Discrimination and Appearance of Surgical Disease. London, Churchill, 1840.
6. ↑ M. H. von Romberg. Pathologie und Therapie der Senisbilitäts- und Motilitätsneurosen. 1857. 3rd edition (unfinished) of Romberg’s Lehrbuch der Nervenkrankheiten des Menschen, page 89.

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Symptoms and signs: digestive system and abdomen (R10–R19, 787,789)

Upper|

* Nausea
* Vomiting
* Heartburn
* Aerophagia
* Dysphagia
* oropharyngeal
* esophageal
* Odynophagia
* Halitosis
* Xerostomia
* Hypersalivation
* Burping
* Wet burp

Defecation|

* Flatulence
* Fecal incontinence
* Encopresis
* Blood: Fecal occult blood
* Rectal tenesmus
* Constipation
* Obstructed defecation
* Diarrhea
* Rectal discharge

* Psoas sign
* Obturator sign
* Rovsing's sign
* Hamburger sign
* Heel tap sign
* Aure-Rozanova's sign
* Dunphy sign
* Alder's sign
* Lockwood's sign
* Rosenstein's sign

Abdomen|

* Abdominal pain
* Acute abdomen
* Colic
* Baby colic
* Abdominal guarding
* Rebound tenderness
* Abdominal distension
* Bloating
* Ascites
* Tympanites
* Shifting dullness
* Bulging flanks
* Fluid wave test
* Abdominal mass
* Hepatosplenomegaly
* Hepatomegaly
* Splenomegaly
* Jaundice
* Mallet-Guy sign
* Puddle sign

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