Which atypical findings appear with regularity in pediatric appendicitis?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Becker et al found that 44% of patients diagnosed with appendicitis presented with 6 or more of the following atypical features [3] :

  • No fever

  • Absence of Rovsing sign

  • Normal or increased bowel sounds

  • No rebound pain

  • No migration of pain

  • No guarding

  • Abrupt onset of pain

  • No anorexia

  • Absence of maximal pain in the RLQ

  • Absence of percussive tenderness


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