Classic Presentation

The classic clinical presentation of acute appendicitis consists of vague, poorly localized, periumbilical pain followed by anorexia, nausea, and possibly vomiting. Over a period of 4 to 48 h the pain will migrate to the right lower quadrant. 4 Low-grade fever is also a later finding in acute appendicitis. The clinician must be aware, however, that many diagnostic errors occur because the physician fails to consider the variability in the presentation associated with acute appendicitis.

Dieting Dilemma and Skinny Solutions

Dieting Dilemma and Skinny Solutions

The captivating thing about diets is that you don't get what is researched or predicted or calculated but rather, you get precisely what you expect. If the diet resonates with you then it will likely work, if it doesn't resonate, it won't.

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