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Doctor insights on: Missed Appendicitis

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Can ultrasonic abdomen scan miss appendicitis?

Can ultrasonic abdomen scan miss appendicitis?

Possibly: It is possible that ultrasound may not be diagnostic for appendicitis. It depends on the tech performing the exam, the patient's body size/habitus, the amount of bowel/stool present, the age of the patient, the location of the appendix, whether free fluid is present, and the confidence of the interpreting radiologist. ...Read more

Dr. Barry Rosen
1,108 Doctors shared insights

Appendicitis (Definition)

The inflammation of the appendix which can cause right lower quadrant pain that radiates and ...Read more


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Is it likely that blood tests and a CT scan could miss appendicitis?! please help

Is it likely that blood tests and a CT scan could miss appendicitis?! please help

Time, physical exam: A ct scan and blood work is very good. Over time with a physical exam your doctors will evaluate you. The ct scan is one moment in time. If you feel worse go back to emergency. ...Read more

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Could a CT scan miss appendicitis if I wasn't given contrast fluid to drink or wasn't injected with dye?

Could a CT scan miss appendicitis if I wasn't given contrast fluid to drink or wasn't injected with dye?

Possibly: That is possible. Contrast should always be given for abdominal and pelvic cts unless there is reduced kidney function or allergies to the dye. ...Read more

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Can a PET scan report miss the presence of appendicitis when the goal is to locate pancreatic tumors?

Can a PET scan report miss the presence of appendicitis when the goal is to locate pancreatic tumors?

PET picks up inflamm: PET scan would ordinarily pick up (show increased uptake) Inflammation (like in acute appendicitis) and growing tumors. It is used for searching all tumors (not only pancreatic Cancer). I hope I have addressed your question. Otherwise send me another email with your remaining question. ...Read more

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Could a CT scan miss in abscess on the appendix. Suspected appendicitis help?

Could a CT scan miss in abscess on the appendix. Suspected appendicitis help?

Not likely: Ct scan is generally quite sensitive for the diagnosis of appendicitis, and the additional finding of an abscess from appendicitis would usually be seen quite easily. ...Read more

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Please help! What is the most common missed diagnosis for appendicitiis?

Not missed if Examin: Acute appendicitis is a surgical emergency and has to be diagnosed and if diagnosis confirmed by History Physical, Blood count and if imaging if needed to confirm the diagnosis like Cat Scan or ultrasound. If one does not seek medical help the appendix can rupture and cause abscess/peritonitis/sepsis and can be life threatening
One can not afford to miss the diagnosis. ...Read more

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Can an abdominal CT miss appendicitis? They checked me for it today but I hurt so bad. I've had fever / diarrhea / chills for days, and I'm stressed.

Can an abdominal CT miss appendicitis? They checked me for it today but I hurt so bad. I've had fever / diarrhea / chills for days, and I'm stressed.

Yes but symptoms: Yes, a CT scan can miss appendicitis. however, your symptoms are not classic for appendicitis. Diarrhea is not usually an early sign. Also, stomach pain tends to localize or concentrate in a particular spot. Did you have a blood test / blood count? Ask to be evaluated by an experienced surgeon based on your clinical signs, rather than relying solely on the CT scan for a diagnosis. ...Read more

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What is appendicitis?

What is appendicitis?

Inflamed appendix: Appendicitis is an inflammation of the appendix. It usually occurs when there is a blockage in the opening of the appendix, usually by feces. This leads to an overgrowth of the bacteria within the appendix. ...Read more

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What causes appendicitis?

What causes appendicitis?

Appendicitis. ..: Comes from obstruction of the lumen of the appendix which causes inflammation to build up. If it is not recognized early on and appropriately treated, the appendix can rupture, spreading infection elsewhere in the abdomen and causing severe illness. ...Read more

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Symtoms of an appendicitis?

Symtoms of an appendicitis?

Abdominal Pain: There are many different symptoms. The classic presentation is that of generalized abdominal pain, followed by nausea and vomiting along with fever and chills. The reality is that patients report a multitude of different symptoms. The main complaint is abdominal pain that just doesn't go away after 6 hours. If you are awakened by abdominal pain, and it doesn't go away, see a doc! ...Read more

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What could appendicitis feel like?

What could appendicitis feel like?

The early symptoms: Of appendicitis are abdominal pain that starts diffusely or around the bellybutton and then localizes to the right lower quadrant (rlq) of the abdomen; some nausea, maybe with vomiting; and decreased appetite (anorexia). Early signs of appendicitis are abdominal tenderness that ultimately localizes to the rlq; there is discomfort with movement (e.g., the bumps in the road cause pain). ...Read more

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What are the signs of appendicitis?

Early or late?: Early may be non specific signs. Mild upper abd discomfort on exam. Later can be fever, dehydration from vomiting or diarrhea, rapid heart rate, pain in right lower quadrant of abdomen, "rebound" tenderness (hurts worse after pressing in), with heel drop, bringing right knee to chest, stretching it out, tenderness on rectal exam. Thinking maybe? See a doc now! ...Read more

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What are sypmtoms for appendicitis?

Can be variable: But pain starts around the belly button and gradually moves to right lower quadrant of abdomen, movement makes it worse, low grade fever, some nausea possible. ...Read more

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I'm not sure if I have appendicitis.

I'm not sure if I have appendicitis.

Neither am I: Typical appendicitis begins as vague, central abdominal pain. The pain then moves to the right lower abdomen. Pain is usually constant rather than crampy. The temperature is normal or slightly elevated. Most patients with appendicitis lose their appetite. Nausea is not unusual. Diarrhea is uncommon. This comes on abruptly and is not a long term problem. Sound like you? See a doctor. ...Read more

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What are the causes of appendicitis?

Unknown: It is unclear what causes appendicitis, although many cases are associated with obstruction of the appendix, leading to it's rupture. ...Read more

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What is the pain of appendicitis like?

What is the pain of appendicitis like?

Pain and illness: Usually gradual onset mid abdominal discomfort that gets worse and moves to the right lower abdomen, getting worse over 24-48 hours. Usually do not feel like eating. Sometimes fever or vomiting. Painful abdomen to move around or walk. ...Read more

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How would you describe appendicitis pain?

Becomes severe: Sometimes the pain from an inflamed appendix can start around your naval. The pain usually worsens over time and moves to mcburney's point which is in the right lower quadrant of your abdomen. Usually the area is tender when touched or when pressure is released. Things which are jolting like walking or coughing can increase the pain. See below. ...Read more

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How would you describe appendicitis pain?

How would you describe appendicitis pain?

SEVERE: At the onset, the pain may be mild and cramping, not unlike a normal stomach ache. However, within 24hrs, the pain changes, "moving" to the right lower abdomen, and becoming sharp, constant, and progressively worsening. ...Read more

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What are the symtoms of having appendicitis?

What are the symtoms of having appendicitis?

Pain and illness: Usually gradual onset mid abdominal discomfort that gets worse and moves to the right lower abdomen, getting worse over 24-48 hours. Usually do not feel like eating. Sometimes fever or vomiting. Painful abdomen to move around or walk. ...Read more

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Could sharpness of appendicitis pain come and go?

Unlikely: Pain from appendicitis usually becomes gradually worse as the inflammation of the appendix worsens. In rare cases, this can heal itself, then recur at another time. Intermittent right lower quadrant abdominal pain however is usually not appendicitis. See your doctor for an exam to be sure. And if you think it is the appendix, head to the er. ...Read more

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How do I prevent appendicitis?

Unknown.: As we don't really understand what causes appendicitis, we have no way to prevent it. Like many acute illnesses, the sooner we diagnose it, the better people do. ...Read more

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Why do babies get appendicitis?

They usually don't: Appendicitis is extemely uncommon in babies. Appendicitis comes from plugging up or occlusion of the long, narrow, cylindrical appendix, allowing inflammation to build up. Babies have shorter, wider, conical appendices that may be harder to plug up. Appendicitis is most common in children (older than babies) and young adults. It is possible but uncommon at the extremes of age. ...Read more

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Does chronic appendicitis exist?

Controversial: There are people who have point tenderness at the location of the appendix but without fever, signs of infection. They may have obstruction of the appendix and have 'pressure' in it. If other issues are disproven, removal may solve the issue. ...Read more

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Is having appendicitis contagious?

No: Appendicitis is not a communicable disease. It comes from obstruction of the lumen of the appendix which causes inflammation to build up. ...Read more

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Could gastritis cause appendicitis?

Could gastritis cause appendicitis?

No: Gastritis is a phenomenon of hellicobactor unless caused by agents such as alcohol. Gastritis for the most part remains a problem in the stomach which has to be brought under control locally. ...Read more