Table 2.
Symptoms, signs and diagnostic measures present at time of treatment decision, per cent of all cases | Symptoms, signs and diagnostic measures with greatest impact on treatment decision (3 per patient), per cent of those with positive symptom, sign or diagnostic measure | |||
---|---|---|---|---|
Symptoms | n | % | n | % |
Nausea | 66 | 56 | 0 | 0 |
Vomiting | 39 | 33 | 2 | 5 |
Loss of appetite | 40 | 34 | 4 | 10 |
Pain in the right fossa | 110 | 94 | 27 | 25 |
Pain in the left fossa | 13 | 11 | 0 | 0 |
Pain in the right hypocondrium | 12 | 10 | 0 | 0 |
Pain in the left hypochondrium | 2 | 2 | 0 | 0 |
Pain in the epigastrium | 12 | 10 | 0 | 0 |
Pain in the umbilical area | 29 | 25 | 4 | 14 |
Pain migration | 66 | 56 | 33 | 50 |
Insidious occurrence of pain | 58 | 50 | 4 | 7 |
Pain provoked by movement | 55 | 47 | 10 | 19 |
Signs | ||||
Fever | 38 | 32 | 8 | 21 |
Tenderness in the right fossa | 106 | 91 | 81 | 76 |
Tenderness in the left fossa | 18 | 15 | 2 | 11 |
Tenderness in the right hypochondrium | 7 | 6 | 1 | 14 |
Tenderness in the left hypochondrium | 2 | 2 | 0 | 0 |
Tenderness in the epigastrium | 2 | 2 | 0 | 0 |
Tenderness in the umbilical area | 13 | 11 | 0 | 0 |
Indirect tenderness | 51 | 44 | 18 | 35 |
Rigid abdomen | 8 | 7 | 3 | 38 |
Diagnostic measures | ||||
Image diagnostics | 78 | 67 | 70 | 90 |
Raised leukocyte count | 76 | 65 | 29 | 38 |
Raised CRP | 89 | 76 | 31 | 35 |
Increasing CRP | 41 | 35 | 13 | 32 |
Symptoms, signs and diagnostic measures recorded prior to surgery