Abstract

MONET-FERNANDEZ, Yadiel Esteban; ALVAREZ-VALDES, Mara Verónica  and  DENIS-PEREZ, Alberto. Clinical elements for the diagnosis of acute appendicitis in the primary health care. Rev.Med.Electrón. [online]. 2024, vol.46  Epub Jan 01, 2024. ISSN 1684-1824.

Acute appendicitis is manifested, sometimes, with a varied and unspecific clinical presentation, which makes difficult its timely diagnosis and favors the complication risk. The objective is to update the information related to the clinical characteristics of acute appendicitis, for which a non-systematic review of the literature was carried out until April 2022. Articles, specialized books and bibliographic citations of selected studies were reviewed, 20 of which were chosen for the review. Through this research it is concluded that the first and main manifestation is abdominal pain. The patient should undergo a rigorous physical examination, including a rectal examination if necessary, and in the case of women, a gynecological examination if there is diagnostic doubt.

Keywords : acute appendicitis; diagnosis; symptoms; signs.

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