Quiz — what’s the diagnosis?
Look at the images, read the history and pick the most likely diagnosis. Your score is kept on this device.
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CT
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Axial contrast-enhanced CT of the pelvis; the calliper measures the appendix (17.1 mm).
Image: James Heilman, MD, CC BY-SA 3.0 — source
Case 1007
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Presentation
Periumbilical pain migrating to the right iliac fossa, with anorexia and low-grade fever.
- Dilated appendix measuring about 17 mm (normal under 6 mm)
- Thickened, enhancing wall with surrounding fat stranding
- Ultrasound shows a thick-walled, tubular, non-compressible appendix