Appendicitis can be detected by physical examination when there are no symptoms, but it will be more difficult to detect it by physical examination. Generally, appendicitis in the acute stage will mostly be accompanied by some symptoms, such as metastatic right lower abdominal pain, fever, vomiting, diarrhea and a series of clinical symptoms, through the physical examination can determine the location of appendicitis, the severity of the symptoms. That is, through the blood picture and ultrasound examination, we can accurately determine the severity of appendicitis inflammation and the local manifestations of the appendix, such as simple, congestive, purulent perforation as well as gangrene, or even appendiceal abscess. However, when appendicitis is painless, the symptoms may not be as clear as in typical appendicitis due to the location of the appendix, which is either posterior or retroperitoneal. However, in some cases, appendicitis can be detected through a series of clinical signs and symptoms, such as deep tenderness or leg raising test.