Last Updated on August 20, 2025
“The biggest MISTAKE in managing acute appendicitis is to discharge patient from primary care with referral to SOPD as outpatient!”
22 years old male, no known medical illness. He presented with right iliac fossa pain for 2 days.
History Taking
- Typical symptoms: Abdominal pain (right iliac fossa region), diarrhoea, vomiting
- Relevant negative: Passing flatus, UTI symptoms
Physical Examination
- Vital signs
- Abdomen
- Renal punch
- Inguinal hernia examination
- Scrotal examination
Investigations
- FBC
- VBG
- UFEME / Urine dipstick
- CXR
- AXR
Diagnosis
- Depending on findings from history taking, physical examination and investigation: Acute appendicitis / Perforated appendicitis / Acute appendicitis TRO perforated appendicitis