Clinical Presentation & Protocol
Patient Usually Complains Of
Patient is a pregnant female (GA: [__] weeks) presenting with acute onset of periumbilical pain migrating to the right lower quadrant (RLQ). Associated symptoms include nausea, vomiting, and anorexia. Denies vaginal bleeding, leakage of fluid, or uterine contractions. Pain is constant, non-radiating, and exacerbated by movement.
Clinical Examination Findings
Vitals: Stable. Abdominal exam: Gravid uterus present. Tenderness localized to the RLQ (McBurneyโs point). Guarding and rebound tenderness present. Bowel sounds: Hypoactive. Fetal heart tones: [__] bpm (reactive). Pelvic exam: Cervical os closed, no adnexal masses or tenderness.
Treatment Protocol
Immediate surgical consultation for appendectomy (laparoscopic vs. open based on GA). Pre-operative management: IV fluid resuscitation, broad-spectrum antibiotics (e.g., Ceftriaxone + Metronidazole), and fetal monitoring. Post-operative: Thromboprophylaxis, pain management with acetaminophen, and close obstetric follow-up.