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Diagnosis Mistakes » Not always a case of appendicitis

Not always a case of appendicitis

Pain in the right lower quadrant of the abdomen leads to numerous differential diagnoses in the mind of the doctor.Not all cases of right sided abdominal pain are acute appendicitis.Misdiagnosis of an acute appendicitis leads to unnecessary surgery. A good clinical history must be taken to rule out various other conditions such as gastroenteritis,right renal colic,biliary colic,Meckel's diverticulum etc. Some of the symptoms that need to be looked into include moderate to severe abdominal pain,fever,nausea and vomiting.The intensity and nature of pain must be assessed along with the presence of fever .Fever maybe unlikely in a case of renal colic unless associated with infection.Accurate judgement can be made using investigative modalities such as CT scan and ultrasound.

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