- Markle Sign, Markle Test or Heel Drop Jarring Test is elicited in patients with intraperitoneal inflammation by having a patient stand on his or her toes and suddenly dropping down onto the heels with an audible thump.
- If abdominal pain is localised as the heels strike the ground, Markle’s Sign is positive. If the pain is localised to the right lower quadrant, this is suggestive of acute appendicitis.
- In a series of 190 appendectomies, 74% of the patients with acute appendicitis had a positive Markle Sign.
- The Markle Sign was shown to be superior to the better known ‘rebound test’ and at least as accurate as the white blood cell count as a diagnostic marker in acute appendicitis. Markle GH. American Journal of Surgery. 1973 [Abstract]
- Markle Sign
- Markle Test
- Heel Drop Jarring Test
- Did they first describe or popularise or plagiarise?
LITFL Related Links
- Biographical Medical Eponyms – A-Z of eponymous medical pioneers
- Eponymictionary – Searchable Eponymictionary Database
- Medical Eponyms – A-Z of signs, syndromes, diseases and classifications
- Orthopaedic Eponyms – Eponymous orthopedic fractures and classifications
- Cardiac Eponyms – Eponymous cardiology collection