For patients presenting atypically with suspicion for appendicitis, clinical observation in the emergency department with serial abdominal examinations has proven to be a valuable diagnostic adjunct in clarifying evolving cases of appendicitis. 1 20 Emergency physicians and surgical consultants can both use this option to select the best course of care; emergency physicians can avert inappropriate discharge of a patient and subsequent return with a worsening course, while surgeons can avoid performing unnecessary appendectomies.
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