What physical findings are more likely to be present in children with misdiagnosed appendicitis?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Children with misdiagnosed appendicitis are more likely than their counterparts to have vomiting before pain onset, diarrhea, constipation, dysuria, signs and symptoms of upper respiratory infection, and lethargy or irritability. Physical findings less likely to be documented in children with a misdiagnosis than in others include bowel sounds; peritoneal signs; rectal findings; and ear, nose, and throat findings.


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