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Patients were discharged after inconclusive US if less than two predictors were present: male sex, migration of pain to right lower quadrant, vomiting and leucocyte count >12.0 x 109/l and re-evaluated the next day.
Patients were included in that category if fewer than two of the following predictors were present: male sex, migration of pain to the right lower quadrant, vomiting, and white blood cell count higher than 12.0 × 109/L.
MASS components were migration of pain, anorexia, nausea and/or vomiting, right lower quadrant tenderness, rebound tenderness, an elevated temperature of 37.5 0 C or more, and leukocytosis (>10,000 WBCs).
Table 1 Modified Alvarado Scale Manifestations Value Migration of pain 1 Symptoms Anorexia 1 Nausea and/or vomiting 1 Signs Right lower quadrant tenderness 2 Rebound 1 Elevated temperature 1 Laboratory values Leukocytosis 2 Total points 9 Data were assessed by SPSS version 16, and a p value <0.05 was considered significant.
Speed bumps had a better sensitivity and negative likelihood ratio than did other clinical features assessed, including migration of pain and rebound tenderness.
The collected data included clinical findings (tenderness in RLQ, guarding in RLQ, and body temperature), and symptoms (pain in RLQ, migration of pain, vomiting and anorexia), together with laboratory test results (C-reactive protein (CRP), leukocyte count, proportion of neutrophils), as well as time passed between the onset of symptoms to clinical evaluation.
Similar(54)
Abdominal pain is the primary presenting complaint, followed by vomiting with migration of the pain to the right iliac fossa, described first by J Murphy in 1904 [10].
A retrospective study in a follow-up to 542 patients who received facial injections of Aquamid showed 7.7% of patients (42) developed complications such as edema, unevenness and lumpiness, abscess formation, alteration in facial appearance, migration of product, and pain.
The main complications of embolisation are: phlebitis; pleural pain; migration of vaso-occlusion material; febrile pleural reactions (sometimes with a delay of several weeks or months).
The clinical significance of migration seems unclear, since Widmann et al. (1999) did not find any correlation between grade of proximal migration and pain and we found no relationship between migration and degree of patient satisfaction.
Indeed, there is convincing and recent evidence indicating the relevance of neutrophil migration in pain processing mechanisms [ 32, 34].
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