The Rational Clinical Examination
David L. Simel, Drummond Rennie
Appendicitis, Adult
James M. Wagner, W. Paul McKinney, John L. Carpenter
Clinical Scenario
Topics Discussed:
appendicitis, acute, rovsing's sign
Excerpt:
"A 29-year-old patient presents to your office with abdominal
pain and a fever. The patient was well until 1 day ago and had never
experienced abdominal pain. A vague periumbilical pain awoke him from
sleep 12 hours previously, and he soon developed anorexia, nausea,
and vomiting. His wife consulted their family medical reference
guide and then brought him to the office, concerned that his symptoms
matched a description of appendicitis. The pain then migrated to
the right lower quadrant (RLQ) and was much worse while he was riding
in the car to the physician's office. ..."
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