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Appendicitis - Dr. Craig

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  • The classic presentation of appendicitis is seen ~50% of the time. 
  • There are several well-known atypical presentations that are commonly misdiagnosed at the initial encounter. 
  • The common theme is that symptoms are NOT localized to the right iliac fossa. 
  • Know these atypical presentations so that you can nail the diagnosis:
               ·         Young healthy male with cystitis symptoms
               ·         Toddler with a RLE limp
               ·         Infant with inflamed right hemiscrotum
               ·         Pregnant female with right flank pain, pyuria
               ·         Right sided truncal cellulitis
               ·         RUQ discomfort with normal RUQ ultrasound
               ·         Urinary retention



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