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Acute appendisitis

Acute Appendicitis

Periumbilical pain(colicky pain, Mc. Burney pain (irritative


visceral) referred by N. Thoracal X peritoneal pain, somatic)
Clinical Sign

• Rovsing’s sign :
palpation in the left
lower quadrant of
abdomen increase the
pain in the right lower
quadrant
Obturator sign
Alvarado Score: MANTRELS
Pathophysiology

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