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A 35 year old male person has been admitted into the reception ward of the emergency hospital.

He complains of
a pain in the right inguinal area and a vomiting. Two years ago he had cholecystectomy. The pain initially was in
the epigastrium, in six hours it was in the right iliac area. The condition of the patient is satisfactory. The
palpation of the McBurney's point is painful, here are a musculary guarding, positive rebound tenderness, and
shirt signs

Questions:
1. What is your primary diagnosis and why?

2. What part of the case history is a dynamic of the pain recorded?

3. What part of the case history is a previous surgery recorded?

4. What invasive diagnostic method helps diagnosis?

5. Who has to sign a consent to surgery in the situation?

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