Appendicitis

Question 1

Diagnosis of appendicitis

Answer 1

RIF pain
Signs of infection
Anorexia/GIT upset

Question 2

Three signs on clinical exam for appendicitis

Answer 2

Rovsing’s - palpatation on left = pain on right

Obturator sign - Internal hip rotation = pain (pelvic)

Iliopsoas - right hip extension = pain (retroceacal)

Question 3

Two tests to perform on all people presenting with symptoms/signs of appendicitis

Answer 3

Urinalysis (UTI/renal colic)

Pregnancy test

Question 4

Imaging for appendicitis

Answer 4

Only if unsure of diagnosis
AXR - non-specific [feacolith/ loss of psoas shadow]
US - thickened wall and diameter, free fluid
CT - thickened wall and diameter, free fluid, phlegmon/abscess