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The clinical presentation and physical examination of appendicitis is variable and may be misleading. The pain is typically referred to the right lower quadrant area in 80%-90% of patients, and is described as postprandial or colicky. The severity of the pain oscillates from vague, non-specific discomfort to frank, sharp, and intensely localized pain. The pain is often aggravated by movement or bending at the waist. Occasionally, intense pain may spread to the right shoulder or downward into the groin.7,8,17,18
Presentation includes guarding, rigidity, fever and leukocytosis in 75% of patients, and a mass felt on rectal examination in 20%. Other findings include rebound tenderness (67%); localized tenderness (of which a localized non-oval, firm mass is the most common finding) (44%), and a non-tender fecal mass in 50%. Abdominal radiologists interpret radiographic findings with the symptoms of appendicitis in mind. d2c66b5586
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Du kan ocksƄ bestƤlla originalvisumklistermƤrken som du enkelt kan anvƤnda fƶr att resa runt i vƤrlden. VisumklistermƤrkena du kƶper kommer att registreras med deras serienummer i immigrationsdatabasen. Dessutom tar det mindre Ƥn 10 dagar frƄn kƶptillfƤllet tills du fƄr ditt visum. Denna process Ƥr fƶrenklad och informationen vi samlar in frƄn dig inkluderar ett foto pƄ ditt pass och ett foto pƄ dina utskrifter.
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