If an inflamed appendix is in contact with the obturator internus, spasm of the muscle ( called the obturator sign ) can be demonstrated by flexing and internal rotation of the hip.

# If a mass is present, the incision is made over the mass ; otherwise, the incision is made over McBurney's point, one third of the way from the anterior superior iliac spine ( ASIS ) and the umbilicus ; this represents the position of the base of the appendix ( the position of the tip is variable ).

If they are, it is usually in a separate appendix within the publication, and so they are sometimes called back of the book stamps.

If pressure is applied to the muscles of the right lower abdomen ( or iliac fossa ) near a very irritated appendix, then the muscle fibers in that area will be stretched and will hurt.

`` If Blue Throat has his way he'll keep us all cooped up in here for days '', he said.

If Wilhelm Reich is the Moses who has led them out of the Egypt of sexual slavery, Dylan Thomas is the poet who offers them the Dionysian dialectic of justification for their indulgence in liquor, marijuana, sex, and jazz.

If the man on the sidewalk is surprised at this question, it has served as an exclamation.

If any one of them has any power to veto the Secretary General's decisions the nature of the organization will have changed.

If this new Bible does not increase in significance by repeated readings throughout the years, it will not survive the ages as has the King James Version.

If the case is thus determined by us to be domestic, the court has no jurisdiction.

If this capacity had not failed them, they would see that their enemy has made a disastrous miscalculation.

If the new Soviet series has followed the general pattern of previous Russian tests, the shots were roughly half fission and half fusion, meaning a fission yield of 30 to 40 megatons thus far.

If the superintendents do not receive more cooperation from Handlers, it has been suggested that licensed Judges also be qualified to judge this Class.

If your state has no provisions for the numbering of pleasure boats, you must apply for a number from the U.S. Coast Guard for any kind of boat with mechanical propulsion rated at more than 10 horsepower before it can be used on Federal waterways.

If design head has a deep cavity, clay lid will be quite thick at this point ; ;

If you run into excess plug fouling on one truck, check to be sure that the rig has a thermostat.

If we manage to keep track of a Bombus queen after she has left her feeding place, we may discover the snug little hideout which she has fixed up for herself when she woke up from her winter sleep.

If cell Af has not previously been assigned as the information cell of a form in the text-form list, it is now assigned as the information cell of Af.

If of the founders of glottochronology Swadesh has escaped our steady plodding, and Lees has repudiated his own share in the founding, that is no reason why we should swerve.

If the transferor has substantial assets other than the claim, it seems reasonable to assume no corporation would be willing to acquire all of its properties in the dim hope of collecting a claim for refund of taxes.

If the patient can perceive figure kinesthetically when he cannot perceive it visually, then, it would seem, the sense of touch has immediate contact with the spatial aspects of things in independence of visual representations, at least in regard to two dimensions, and, as we shall see, even this much spatial awareness on the part of unaided touch is denied by the authors.

If the distant patron of the suburban branch has been frightened away from downtown by traffic problems, however, the city store can only pressure the politicians to do something about the highways or await the completion of the federal highway program.

If a statement has been assigned an address in the index word area

If she has not had such experiences, the female's normal adolescent degree of indecision will be compounded.

If the change, at first sight, seems minor, we may recall that it took the Italian painters about two hundred years to make an analogous change, and the Italian painters, by universal consent, were the most brilliant group of geniuses any art has seen.

If Barnett doesn't call a special session in 1961, it will be the first year in the last decade that the Legislature has not met in regular or special session.

If the church has followed the plan of cultivation of prospects and carried through a program of membership preparation as outlined earlier in this book, the process of assimilation and growth will be well under way.

If possible, either surgical clipping or endovascular coiling is usually performed within the first 24 hours after bleeding to occlude the ruptured aneurysm and reduce the risk of rebleeding.

If the CT scan is negative but a ruptured aneurysm is still suspected based on clinical findings, a lumbar puncture can be performed to detect blood in the cerebrospinal fluid.

* If the ligament is ruptured, one may hear a popping sound

Dosage of chemotherapy can be difficult: If the dose is too low, it will be ineffective against the tumor, whereas, at excessive doses, the toxicity ( side-effects, neutropenia ) will be intolerable to the patient.

If the TP53 gene is damaged, tumor suppression is severely reduced.

If a tumor is causing syringomyelia, removal of the tumor is the treatment of choice and almost always eliminates the syrinx.

If central DI is suspected, testing of other hormones of the pituitary, as well as magnetic resonance imaging, is necessary to discover if a disease process ( such as a prolactinoma, or histiocytosis, syphilis, tuberculosis or other tumor or granuloma ) is affecting pituitary function.

If a selective advantage is conferred to the cell, the cells expand clonally to give rise to a tumor in which all cells lack the capacity to produce protein.

If detected, laser treatment, radiation and surgeries can be used to treat the tumor.

If this biological product can be formed properly, it could be used to deliver a drug to a specific tissue in the body, such as a tumor.

If the mucus remains inside the tumor cell, it pushes the nucleus at the periphery-" signet-ring cell.

If the tumor cells do not cause inflammation they will also be regarded as self and therefore will not induce a T cell response.

If the liver tumor has metastasized, the immuno-suppressant post-transplant drugs decrease the chance of survival.

If the mucus remains inside the tumor cell, it pushes the nucleus to the periphery-" signet-ring cell ".

If the pathologic examination of the resected specimen shows incomplete resection or deep invasion by tumor, the patient would need a formal stomach resection.

If frankly malignant, the tumor is a cancer for which additional cancer staging applies.

If this process of continuous growth, local invasion, and regional and distant metastasis is not halted via a combination of stimulation of immunological defenses and medical treatment interventions, the end result is that the host suffers a continuously increasing burden of tumor cells throughout the body.

If unchecked, tumor growth and metastasis eventually creates a tumor burden so great that the host succumbs.

If the tumor is large, it can appear as a swelling.

If a lesion is caused by a tumor it will be classified as malignant or benign.

If there is cancer, this procedure can also determine its spread ( which is a form of tumor staging ).

If the treatment is effective, we expect the tumor size for many of the patients to be smaller following the treatment.

If the CD117 stain is negative and suspicion remains that the tumor is a GIST, the newer antibody DOG-1 ( Discovered On GIST-1 ) can be used.

If the tumor outstrips its blood supply, it can necrose internally, creating a central fluid-filled cavity with hemorrhage and cavitations that can eventually ulcerate and communicate into the lumen of the bowel.

If an abnormality is seen, it will be an indirect sign due to the tumor mass effect on adjacent organs.