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During the physical examination, the doctor may ask:
- Time pattern
- When did the abdominal pain associated with this point tenderness develop?
- Is this the first time that this kind of discomfort has occurred?
- If it has occurred before, have you noticed any pattern to the occurrences?
- Other
- What other symptoms are also present?
- Is there vomiting?
- Is there rebound tenderness (the tenderness is worse when the area is gently pressed and then the pressure is suddenly released).
- Is there diarrhea or constipation?
- Is there a fever?
- Are there fever or chills?
- Is the person fainting?
Diagnostic testing may include:
TREATMENT Sometimes, the physical examination will indicate a need for immediate surgery (an exploratory laparotomy or an emergency appendectomy). This is usually the case if signs of diffuse peritonitis are present.
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