Young person, early 20s, classic presentation of periumbilical pain, onset 3 days ago, localizing to RLQ today.
No fever. No white count. ESR not ordered. Abdominal CT with triple contrast negative. Pt. appears nontoxic.
Doctor admits for appendicitis. What am I missing???? Is the doctor diagnosing on the basis of the symptoms alone, despite negative labs and imaging? Can appendicitis be subclinical in this way?