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EASILY MISSED? Appendicitis

Sian R R Lewis, Peter J Mahony and John Simpson
BMJ: British Medical Journal
Vol. 343, No. 7827 (15 October 2011), pp. 791-793
Published by: BMJ
Stable URL: http://www.jstor.org/stable/23052087
Page Count: 3
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Abstract

KEY POINTS Appendicitis is a predominantly clinical diagnosis, and no single individual symptom or sign can be relied upon to diagnose or exclude it A history of fever or pain migration and evidence of peritoneal irritation have been found to be the most useful clinical features in making the diagnosis A raised CRP and white cell count can support the diagnosis The classical presentation can be influenced by the age of the patient and anatomical position of the appendix

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