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Volume 7, Issue 2
August 2001

APPENDICITIS
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Practice Points
Full Text Article

Classical symptoms:
1. Abdominal pain
  a. first constant, diffuse, upper or central
  b. then localised right lower
2. Anorexia, nausea, mild vomiting
Classical signs:
1. VITAL SIGNS NORMAL or mildly raised: pulse, blood pressure, temperature
2. Abdomen soft with LOCALISED right lower TENDERNESS
  a. Voluntary muscle GUARDING early
  b. REBOUND tenderness later
3. BOWEL SOUNDS progressively reduced

Typical Laboratory tests:
1. White Blood Cell Count (WBC) >10,000
2. Neutrophils >75%
3. C-Reactive Protein (CRP) >0.8

 GLOSSARY: Click on the appropriate letter

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