In acute pancreatitis, epigastric tenderness and rebound tenderness are usually present, but the abdominal wall may be soft.
Just below the middle of a line joining the umbilicus and the anterior superior iliac spine
Right rectal tenderness wfy
Right lower quadrant signs are typical of acute appendicitis, but may be absent early in the course. The typical area of tenderness is illustrated. Explore other portions of the right lower quadrant as well as the right flank.
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