Which pain pattern is typical of early acute appendicitis?
Answer and explanation
Correct answer: B. Periumbilical pain that migrates to the right iliac fossa, with anorexia and low fever
- Step 1: Visceral pain from the inflamed appendix is first felt around the umbilicus. Step 2. When the parietal peritoneum is irritated it localises to the right iliac fossa. Answer: migrating periumbilical pain. Why not the others: The other patterns describe pancreatitis, ureteric colic and inflammatory bowel disease.
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