**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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