Surgery Oral Exam Appendicitis
Questions and Answers
Young woman with RLQ pain.
HPI?ro - Answer-Location of pain? How did it start?
Onset, duration
Describe pain
Better/worse
Eat anything unusual?
Nausea/vomiting/diarrhea
Fevers/chills
Eat anything odd
Gyne sx: discharge, blood, last menstrual period, any chance she could be pregnant
Young woman with RLQ pain.
DDx? - Answer-Ectopic pregnancy
Chrons
Ileitis
Ovarian torsion
Ovarian cyst rupture
Meckles
Mettleschmertz
Gastroenteritis
Kidney stone
PID
Young woman with RLQ pain.
Past Medical History? - Answer-History of IBS, congenital GI anomalies, travel history
Young woman with RLQ pain.
Gyne History? - Answer-Menarche, regularity, frequency, duration, dysmenorrhea, last
menstrual period, itching, discharge, sores, pregnancies, birth control (IUD?),
menopause
Young woman with RLQ pain.
Past Surgical History? - Answer-Any previous surgeries- does she still have her
appendix?
Young woman with RLQ pain.
Family History? - Answer-Anyone in family had gyne problems, or appendectomy, and
general family health
Young woman with RLQ pain.
Social History? - Answer-Diet, exercise, tobacco, alcohol, drugs
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