Gastrointestinal history 1
Gastrointestinal history 1
Written by Leya Bedar
Diagnosis:
Appendicitis (due to generalised pain to right iliac fossa and progression from dull to sharp suggesting peritonitis, along with exacerbating and relieving factors, anorexia, fever, and nausea)
Other differentials:
Ruptured ectopic pregnancy (possible cause of peritonitis but very unlikely as patient has never had sex)
Ovarian torsion (similar to above but features are more characteristic of appendicitis)
Mark scheme for history taking can be found below
