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| Diagnosis is based on a medical history (symptoms) and physical examination, which can be supported by an elevation of ] white blood cells and imaging studies if needed. Histories fall into two categories, typical and atypical. | Diagnosis is based on a medical history (symptoms) and physical examination, which can be supported by an elevation of ] white blood cells and imaging studies if needed. Histories fall into two categories, typical and atypical. | ||
| Typical appendicitis includes several hours of generalized abdominal pain that begins in the region of the umbilicus with associated ], nausea, or vomiting. The pain then "localizes" into the right lower quadrant where the tenderness increases in intensity. It is possible the pain could localize to ] in people with ]. The combination of pain, anorexia, leukocytosis, and fever is classic. | Typical appendicitis includes several hours of generalized abdominal pain that begins in the region of the umbilicus with associated ], nausea, or vomiting. The pain then "localizes" into the right lower quadrant where the tenderness increases in intensity. It is possible the pain could localize to ] in people with ]. The combination of pain, anorexia, leukocytosis, and fever is classic. | ||
Revision as of 16:13, 1 June 2024
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CT scan viewer (requires turning on the gadget under preferences)
Diagnosis is based on a medical history (symptoms) and physical examination, which can be supported by an elevation of neutrophilic white blood cells and imaging studies if needed. Histories fall into two categories, typical and atypical.
Typical appendicitis includes several hours of generalized abdominal pain that begins in the region of the umbilicus with associated anorexia, nausea, or vomiting. The pain then "localizes" into the right lower quadrant where the tenderness increases in intensity. It is possible the pain could localize to the left lower quadrant in people with situs inversus totalis. The combination of pain, anorexia, leukocytosis, and fever is classic.
Atypical histories lack this typical progression and may include pain in the right lower quadrant as an initial symptom. Irritation of the peritoneum (inside lining of the abdominal wall) can lead to increased pain on movement, or jolting, for example going over speed bumps. Atypical histories often require imaging with ultrasound or CT scanning.
Pages needed
- MediaWiki:Gadget-ImageStackPopup.js
- MediaWiki:Gadget-ImageStackPopup.css
- Template:ImageStackPopupGallery
- Module:ImageStackPopup
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