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Question

Which of the following is NOT a classical symptom of acute appendi- citis?

The correct answer is
Constipation

Appendicitis Symptoms: Identifying Non-Classical Signs

Acute appendicitis is an inflammation of the appendix. Recognizing its typical symptoms helps in quick diagnosis.

Classical Symptoms Overview

The common, or classical, symptoms of acute appendicitis often include:

  • Anorexia: Significant loss of appetite is frequently observed.
  • Periumbilical colic: Pain initially felt around the navel, often described as crampy or dull.
  • Nausea: This often accompanies the pain and may lead to vomiting.
  • Pain Migration: The pain typically shifts from the periumbilical area to the right lower quadrant (RLQ) of the abdomen over several hours.

Analysis of Options

We need to identify the symptom that is NOT a classical sign:

  • Anorexia: Included in the classical symptoms.
  • Periumbilical colic: A key initial symptom.
  • Constipation: This is NOT considered a hallmark symptom. While bowel habit changes can occur, they are variable. Some patients may have diarrhea, while others have constipation, or normal bowel movements. It's not as consistently present or specific as the other symptoms.
  • Nausea: A common accompanying symptom.

Based on the typical presentation, Constipation is the symptom least associated with the classical profile of acute appendicitis.

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