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Appendicitis: common and commonly missed - the story of Alice Tapper
Antonio J Dajer1, Andrew P J Olson2
1Weill Cornell Department of Emergency Medicine, New York, NY, USA.
Objectives:
The misdiagnosis of appendicitis remains frequent. Better understanding of its clinical evolution over time would decrease the incidence of misdiagnosis.
Case Presentation:
At the Society to Improve Diagnosis in medicine conference in Cleveland Ohio in October 2023, Alice Tapper and her father, CNN journalist Jake Tapper, presented her case of misdiagnosed appendicitis. Thanks to meticulous notes and a detailed timeline, the case vividly demonstrates the protean nature of appendicitis as well as the cognitive pitfalls of clinicians who treat it.
Conclusions:
McBurney's point tenderness is over-emphasized as the key to the diagnosis of appendicitis.
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