Appendicitis in a Patient with Right Iliac Fossa Pain
Context
Differential Diagnosis
Basic Science and Pathophysiology
2 Topics
Position of Appendix
Development of Appendicitis
Clinical Assessment and Risk Stratification
7 Topics
History
Pain Relocation
Examination
Localised Indications of Appendicitis
Examining Patients in Pain
Rectal Examination
Risk Assessment
Investigations
7 Topics
Tests
Clinical Scoring Tools
Predicting the Likelihood of Appendicitis Based on Clinical and Laboratory Findings
Likelihood Ratios
Imaging – Ultrasound Scan
Imaging – CT
Diagnostic Difficulties
Management
3 Topics
Initial Management
Surgical Approaches to Management
Further Surgical Approaches to Management
Summary Approach to Patients with RIF pain
Pitfalls
Clinical Cases
3 Topics
Case 1
Case 2
Case 3
Appendicitis in a patient with Right Iliac Fossa Pain – Post Test
Previous Topic
Next Topic
Examining Patients in Pain
Appendicitis in a Patient with Right Iliac Fossa Pain
Clinical Assessment and Risk Stratification
Examining Patients in Pain
A kinder way to detect signs of localised peritonism can be to:
Ask the patient to ‘blow their abdomen out fat’ and then ‘suck it in thin’
Ask the patient to cough gently
Percuss gently over the RIF to elicit guarding and rigidity
Previous Topic
Back to Lesson
Next Topic