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(History, Investigation, Management, Personal Data, Physical Examination,…
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- Married for 5 months and currently living with her
husband
- Does not have any children yet; planning to have a child
soon
- Eats home cooked meals 3 times everyday consisting of cereal and bread for breakfast; rice, fish and chicken with vegetables and fruits for lunch and dinner
- Exercises three times a week
- Does not smoke or drink alcohol
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- No history of eating outside food
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- No history of recent water activities or hiking activities
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- Regular cycles of 30 days
- 7 to 8 days with 3 pads used moderately soaked
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- Mild abdominal cramp during the first few days but does not affect her daily activities
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- Began at the central umbilical region
before shifting to the right lower quadrant
after 6 hours
- Described as constant, sharp, and stabbing in nature
- Aggravated by movement and coughing
- Not relieved by rest nor Panadol
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- Associated with decreased appetite
- 3 times within the past 1 day
- Described as loose stools
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- No blood or food particles
- No mucus or blood, no 'rice water' or 'pea soup' stools, no intermittent constipation
- Temperature was not recorded
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- Father has dyslipidemia and gout
- Mother has diabetes mellitus
- No one in the family shared similar
symptoms
- No family history of malignancy
- No underlying medical illnesses
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- Never been hospitalized nor undergone any surgery
- Not on any medication currently
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- Not taking supplements, traditional or illicit drugs
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- Urine Leukocytes and Nitrite
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- No intrauterine pregnancy
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- No pancreatic calcification
- Diagosis of acute appendicitis
- Assess patient on understanding towards
appendicitis
- Explore patient concern regarding
appendicitis
- Fill in the gaps regarding patient
knowledge towards appendicitis
- Early intervention (surgical removal) to
avoid ruptured
- Urgency refer to hospital
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- PR: 70 bpm regular rhythm normal volume
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- Weight 165 cm, Height 65 kg, BMI 23.9 kg/m2 (normal)
- Hands are warm,dry,no peripheral cyanosis,CRT less than 2 sec
- Pink conjunctiva,no scleral jaundice,no central cyanosis
- abdomen moves with respiration
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- umbilicus inverted and centrally located
- no discoloration on abdomen
- McBurney's point tenderness
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