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Anonymous
May 22

Outline clinical signs of appendicitis? Outline 6 clinical features of internal harmorrhage?

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ChatGPT
May 22
Clinical signs of appendicitis:
1. Abdominal pain, usually starting around the navel and then moving to the lower right side of the abdomen
2. Nausea and vomiting
3. Loss of appetite
4. Fever
5. Swelling or tenderness in the abdomen
6. Constipation or diarrhea
7. Inability to pass gas

Clinical features of internal hemorrhage:
1. Sudden and severe abdominal pain
2. Weakness or dizziness
3. Rapid heart rate
4. Low blood pressure
5. Pale skin
6. Swelling or bruising at the site of injury or trauma.
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G
Google Gemini AI
May 22
Clinical Signs of Appendicitis

- Periumbilical pain: Initially, pain is felt around the navel and may be associated with nausea or vomiting.
- Quadrant shift: Over time, pain typically shifts to the lower right quadrant of the abdomen (McBurney's point).
- Rovsing's sign: Pain in the right lower quadrant is elicited by pressing on the left lower quadrant due to increased intra-abdominal pressure.
- Psoas sign: Pain is exacerbated by extending the right leg while lying down due to irritation of the psoas muscle.
- Obturator sign: Pain is elicited by internal rotation and extension of the right thigh when lying on the back (due to inflammation around the obturator internus muscle).
- Fever: Low-grade fever may be present.
- Leukocytosis: White blood cell count is often elevated.
- Tenderness and rebound tenderness: The abdomen is tender to palpation, especially in the right lower quadrant. Rebound tenderness (pain that is elicited when pressure is suddenly released) is a characteristic sign.

Clinical Features of Internal Hemorrhage

1. Progressive pallor: Due to blood loss, the skin and mucous membranes become pale.
2. Tachycardia: The pulse rate increases to compensate for reduced blood volume.
3. Hypotension: Blood pressure drops due to decreased blood flow.
4. Syncope (fainting): Occurs due to inadequate blood flow to the brain.
5. Confusion and disorientation: Impaired cerebral circulation can lead to cognitive dysfunction.
6. Nausea and vomiting: Internal bleeding can irritate the stomach and intestines, resulting in nausea and vomiting.
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