Rapid Review: Appendicitis

Appendicitis

  • Patient will be complaining of fever, pain that began periumbilical then moved to RLQ, nausea and anorexia
  • PE will show Psoas sign (RLQ pain on extension of right hip), Obturator sign (RLQ pain on internal rotation of flexed right hip), Rovsing sign (right lower quadrant pain when the left lower quadrant is palpated)
  • Diagnosis is made by ultrasound, CT
  • Most commonly caused by fecalith
  • Treatment is surgery

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