**Acute Appendicitis: Key Facts to Know!

 **Acute Appendicitis: Key Facts to Know!**








🔹 **Epidemiology**:  

- Most common in ages 10–19  

- More frequent in boys and men  


🔹 **Clinical Symptoms**:  

- Right lower quadrant (RLQ) abdominal pain  

- Nausea, vomiting, anorexia  

- Periumbilical pain moving to RLQ  

- Fever  


🔹 **Atypical Symptoms**:  

- Dyspepsia, flatulence  

- Bowel irregularity, diarrhea  

- General malaise  


🔹 **Physical Exam Findings**:  

- **McBurney Point**: Pain 2/3 distance from umbilicus to anterior superior iliac spine  

- **Rovsing Sign**: Palpation in LLQ causes pain in RLQ  

- **Psoas Sign**: Pain on hip extension (retrocecal appendicitis)  

- **Obturator Sign**: Pain on internal rotation of the hip (pelvic appendicitis)  


🔹 **Management**:  

- Appendectomy is the treatment of choice  

- Antibiotics reserved for nonperforated, uncomplicated case


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Medscape 


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