> >Toby Lipman replied: > >I NEVER do a PR on a suspected case of appendicitis. It's a >TO>waste of time and unnecessary humiliation for the patient. > >And I almost never take the temperature either...... > >The decision to admit (or not) is usually obvious and if not, >more likely to be revealed by seeing the patient again in a >few hours. > >And don't you just love those hosp docs who want to know over >the phone the temp and PR findings .....! do they need education...? If I have a patient with severe abdominal pain,sweats and rigors, I am going to get him/her/it into hospital .. regardless of PR *or*temperature - or even of hosp docs :-) Mary -- Mary Hawking Kingsbury Court Surgery Church Street Dunstable Beds LU5 4RS tel:01582 601289 (home) 01582 663218 (surgery) fax:01582 476488 (surgery) %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%