Appendicitis
Presentation:
Generalised-> RIF fossa pain. Infective symptoms (fever vomiting pale)
Exam
Tenderness over Mcburney's point.
Rosving's sign (unreliable) -
palpation of the left lower quadrant of a person's abdomen increases the pain felt in the right lower quadrant
From <http://en.wikipedia.org/wiki/Rovsing's_sign>
Ix
FBC,UEC,CRP
US (if needed)
Tx
IV fluids, Analgesia
NBM 6-8hrs, Apendidectomy, Perioperative Abx, DVT prophylaxis post-surgery.
Generalised-> RIF fossa pain. Infective symptoms (fever vomiting pale)
Exam
Tenderness over Mcburney's point.
Rosving's sign (unreliable) -
palpation of the left lower quadrant of a person's abdomen increases the pain felt in the right lower quadrant
From <http://en.wikipedia.org/wiki/Rovsing's_sign>
Ix
FBC,UEC,CRP
US (if needed)
Tx
IV fluids, Analgesia
NBM 6-8hrs, Apendidectomy, Perioperative Abx, DVT prophylaxis post-surgery.