Appendicitis? Really???

Specialties Med-Surg

Published

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?

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