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dc.contributor.authorRichardson, Erikeng
dc.contributor.authorPaulson, Christopher P.eng
dc.contributor.authorHitchcock, Kristineng
dc.date.issued2007eng
dc.description.abstractNo, none of the 3--history, exam, or labs-- is sufficiently accurate to diagnose acute appendicitis (strength of recommendation [SOR]: A, based on meta-analysis of high- quality studies). When combined, the following tests are helpful: an elevated C-reactive protein (CRP), elevated total white blood cell (WBC) count, elevated percentage of polymorphonuclear leukocyte (PMN) cells (left shift), and the presence of guarding or rebound on physical examination. The combination of any 2 of these tests yields a very high positive likelihood ratio (LR +), but the absence of these does not exclude appendicitis (SOR: A, based on meta-analysis of high-quality studies).eng
dc.identifier.urihttp://hdl.handle.net/10355/3616eng
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.relation.ispartofcollectionClinical Inquiries, 2007 (MU)eng
dc.relation.ispartofcommunityUniversity of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Networkeng
dc.relation.ispartofseriesJournal of family practice, 56, no. 06 (June 2007): 474+eng
dc.rightsOpenAccess.eng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.eng
dc.subjectdiagnostic testingeng
dc.subjectimaging studieseng
dc.subjectinflammatory valueseng
dc.subject.lcshAppendicitis -- Diagnosiseng
dc.subject.lcshBlood cell counteng
dc.subject.lcshAppendix (Anatomy) -- Radiography, Medicaleng
dc.titleHistory, exam, and labs: Is one enough to diagnose acute adult appendicitis?eng
dc.typeArticleeng


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