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Acute appendicitis

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute appendicitis

History: 9 year old male presents to the emergency department with 8 hour history of worsening abdominal pain, starting in the peri-umbilical region migrating to the upper portion of the right lower quadrant. He complained of worse pain while driving over bump (cat's eye sign) en route to ED. Upon arrival, patient had multiple episodes of emisis and diarrhea. He had no recent illnesses or fevers, and no previous medical history.

Findings: Calcified fecalith in right lower quadrant, superior to iliac spine in mid clavicular line, seen best in supine film.

Ddx: Meckel diverticulitis, phlebolith, bone island (should not move in relation to iliac spine with repositioning of patient), Calcified lymph node, and appediceal tumor.

Exam: Temp: 99.2. Patient was tender to palpation in the right upper and lower quadrants, with rebound tenderness in the RLQ, McBurney’s point (1/3 distance from right anterior superior iliac spine to the umbilicus). Elevated WBC at 15.2.

No MeSH data available.


Calcified fecalith in right lower quadrant, superior to iliac spine in mid clavicular line, seen best in supine film.
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MPX2194_synpic12184: Calcified fecalith in right lower quadrant, superior to iliac spine in mid clavicular line, seen best in supine film.


Acute appendicitis

USU Teaching File MUTF - MedPix

Calcified fecalith in right lower quadrant, superior to iliac spine in mid clavicular line, seen best in supine film.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2194&req=5

MPX2194_synpic12184: Calcified fecalith in right lower quadrant, superior to iliac spine in mid clavicular line, seen best in supine film.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute appendicitis

History: 9 year old male presents to the emergency department with 8 hour history of worsening abdominal pain, starting in the peri-umbilical region migrating to the upper portion of the right lower quadrant. He complained of worse pain while driving over bump (cat's eye sign) en route to ED. Upon arrival, patient had multiple episodes of emisis and diarrhea. He had no recent illnesses or fevers, and no previous medical history.

Findings: Calcified fecalith in right lower quadrant, superior to iliac spine in mid clavicular line, seen best in supine film.

Ddx: Meckel diverticulitis, phlebolith, bone island (should not move in relation to iliac spine with repositioning of patient), Calcified lymph node, and appediceal tumor.

Exam: Temp: 99.2. Patient was tender to palpation in the right upper and lower quadrants, with rebound tenderness in the RLQ, McBurney’s point (1/3 distance from right anterior superior iliac spine to the umbilicus). Elevated WBC at 15.2.

No MeSH data available.