Clinical Case Database / Category: Case Based Discussion

Acute appendicitis

Publication details

Miss Susannah M Wyles BSc MRCS, Mr Gordon N Buchanan MSc MD FRCS
Foundation Years Journal, volume 2, issue 7, p.338 (123Doc Education, London, September 2008)


A 24-year-old girl presents with a 36-hour history of abdominal pain. This pain had become increasingly severe and was colicky in nature but with intermittent sharp episodes, and was felt mostly in the epigastrium. With time the pain became more generalised. She felt nauseous and vomited but had no haematemesis. She had lost her appetite over 2 days. Her bowels had not opened for 2 days, but prior to that she had had normal movements with no associated blood. She was passing only small amounts of urine, but had no dysuria or cloudy urine. She was 2 weeks past her last menstrual period and was taking the oral contraceptive pill but no other medications. She had had no previous abdominal operations.

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Miss Susannah M Wyles BSc MRCS

Surgical Registrar
Charing Cross Hospital
Imperial Healthcare NHS Trust
London, UK

Mr Gordon N Buchanan MSc MD FRCS

Consultant Colorectal Surgeon
Charing Cross Hospital
Imperial Healthcare NHS Trust
London, UK




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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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