Master Appendicitis with Picmonic for Medicine

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing.


Recommended Picmonics

picmonic thumbnail
Acute Appendicitis Treatment
picmonic thumbnail
Crohn's Disease Assessment
picmonic thumbnail
Crohn's Disease Characteristics
picmonic thumbnail
Crohn's Symptoms and Associations
picmonic thumbnail
Ulcerative Colitis Characteristics


Appendicitis is inflammation of the appendix due to obstruction of the appendiceal lumen, which then becomes infected. It presents with peri-umbilical pain that then becomes right lower quadrant pain. Clinical findings include rebound tenderness, positive psoas sign and pain at McBurney's point. Patients are leukocytic and have fever. Curative treatment is appendectomy.
Fecalith leading to obstruction and infection
Fecal-monolith Obstructing door and Bacteria

Fecal matter can become lodged in the lumen of the appendix leading to obstruction and infection. Obstruction can also occur due to adhesions, enlarged lymph nodes, foreign bodies, parasites etc.

Most commonly affects teenagers
#1 Foam-finger Teenagers

Appendicitis is most common in teenagers. Males are affected slightly more than females.

Initial peri-umbilical visceral pain
Initial Pear-umbrella with Visor Pain-bolts

Pain associated with appendicitis starts off in the peri-umbilical area due to distention of the appendix. This stimulates visceral afferent nerves at the T8-T10 level of the spine causing peri-umbilical pain.

Subsequent somatic right lower quadrant pain
Subsequent Sumo-tick causing RLQ Pain-bolts

As the inflammatory process continues, irritation of more local somatic fibers occurs leading to right lower quadrant pain.

Rebound tenderness
Rebounding Tenderizer

Rebound tenderness on physical exam signifies peritoneal irritation.

Positive psoas sign
Positive Sewn-ass

This is pain when the patient flexes his/her right hip against resistance. This is specific but not sensitive for appendicitis.

Pain at McBurney's point
Pain-bolt at Mc-Barney

This is located 1/3 of the distance from the anterior superior iliac spine to the umbilicus. This is the location of the base of the appendix.


Elevated white blood cell count is seen due to response to infection.


Fever is seen due to response to infection.

Appendix-pen Cut off by Scalpel

Removing the appendix is the gold standard treatment for appendicitis.


Take the Appendicitis Quiz

Picmonic's rapid review multiple-choice quiz allows you to assess your knowledge.

It's worth every penny

Our Story Mnemonics Increase Mastery and Retention

Memorize facts with phonetic mnemonics

Unforgettable characters with concise but impactful videos (2-4 min each)

Memorize facts with phonetic mnemonics

Ace Your Medicine (MD/DO) Classes & Exams with Picmonic:

Over 1,630,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Medicine (MD/DO) student study app.

Picmonic for Medicine (MD/DO) covers information that is relevant to your entire Medicine (MD/DO) education. Whether you’re studying for your classes or getting ready to conquer the USMLE Step 1, USMLE Step 2 CK, COMLEX Level 1, or COMLEX Level 2, we’re here to help.

Works better than traditional Medicine (MD/DO) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.