A member asked:

Pain in my rlq.at the er the surgeon said his exam indicated appendix but my wbc is normal so sent me home.i still have pain/nausea.what comes next?

A doctor has provided 1 answer
Dr. Eric Weisman answered

Specializes in Neurology

Repeat exam: You want to avoid eating for at least 6 hours before elective appendectomy. Antibiotics can sometimes make the diagnosis difficult. Factored in are such things as the presence of fever, elevated white count above 12,000 and a so called "shift to the left" (increased percentage of PMN type white blood cells) Pain from appendix typically begins near the naval and migrates to the right lower quadrent

Answered 9/28/2016

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