Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of periumbilical pain migrating to the right lower quadrant (RLQ). Associated symptoms include anorexia, nausea, and low-grade fever. Pain is exacerbated by movement, coughing, or deep inspiration. No history of similar episodes. Last bowel movement: [Date/Time].
Clinical Examination Findings
Vitals: T [Temp], HR [Rate], BP [BP]. Abdominal exam: RLQ tenderness noted at McBurneyโs point. Positive signs for peritoneal irritation: rebound tenderness, guarding, and positive Psoas/Obturator signs. Bowel sounds: [Hypoactive/Absent]. No palpable masses.
Treatment Protocol
NPO status initiated. IV fluid resuscitation started. Analgesia and antiemetics administered. Prophylactic IV antibiotics (e.g., Cefoxitin or Ciprofloxacin/Metronidazole) ordered. Surgical consultation for urgent laparoscopic appendectomy.