Markle sign

System: Abdominal & Digestive Signs · All abdominal & digestive signs

What it is — and how it is elicited

The patient stands on tiptoe and drops suddenly onto the heels; the jolt produces sharp abdominal pain (heel drop test).

What a positive finding suggests

Associated with localised peritoneal inflammation, used in suspected appendicitis.

◈ Behind the name

George Bushar Markle IV (1927–1978), American surgeon.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.