In your message dated Monday 15, July 1996 Jon Wilcox wrote :
> With all this blatant honesty and rationalising of clinical
shortcuts,
> who will be totally honest and say they do not do PR's on suspected
> appendicitis.
I will. I NEVER do a PR on a suspected case of appendicitis. It's a
waste of time and unnecessary humiliation for the patient. A much
better test (in addition to the history and RIF tenderness +/-
guarding) is whether or not the patient can climb on to the
examination couch or sit up without pain or discomfort. If that sign
is positive I always admit the patient.
Toby
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| Dr Toby Lipman EMail [log in to unmask]
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| 7, Collingwood Terrace, Jesmond, Newcastle upon Tyne, NE2 2JP
United Kingdom Tel: 0191-2811060
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