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Signs and syndromes in acute appendicitis: A pathophysiologic approach
Steven Howard Yale1, Halil Tekiner2, Eileen Scott Yale3
1Internal Medicine, University of Central Florida, Orlando, FL 32827, United States. steven.yale.md@gmail.com.
World Journal of Gastrointestinal Surgery
|September 26, 2022
Summary
Physical examination signs for acute appendicitis are not well-studied. While a positive sign increases the likelihood of appendicitis, a negative result does not rule it out, making them useful for diagnosis support.
Area of Science:
- Medical Diagnostics
- Surgical Assessment
- Clinical Examination
Background:
- Physical examination signs for acute appendicitis lack robust study.
- Existing research is limited by non-standardized techniques and inconsistent reporting.
Purpose of the Study:
- To evaluate the diagnostic utility of physical examination signs in acute appendicitis.
- To address limitations in current understanding of these clinical signs.
Main Methods:
- Review of existing literature on physical examination signs for appendicitis.
- Analysis of study limitations including methodology, standardization, and translation issues.
Main Results:
- Positive physical examination signs increase the probability of acute appendicitis.
- Negative signs are less reliable for excluding the diagnosis of appendicitis.
Conclusions:
- Physical examination signs are valuable for ruling in, but not ruling out, acute appendicitis.
- Standardized methods and further research are needed to optimize the use of these signs in clinical practice.
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