Blood chemistries may also show dehydration or fluid and electrolyte disorders. Doctors may also order a pregnancy test for women of childbearing age or perform a pelvic examination to rule out gynecological causes for the pain. The doctor may also move the patient's legs to test for pain on flexion of the hip , pain on internal rotation of the hip , or pain on the right side when pressing on the left (calling Rovsing's sign). These are valuable indicators of inflammation, but not all patients have them. All people with special health concerns and their families need to be particularly alert to a change in normal functioning and patients should see their doctors sooner, rather than later, when a change occurs. It is important to understand that not everyone with appendicitis has all the above symptoms.
The person treating you might change the dose of your medications if needed.
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Sometimes, a magnetic resonance imaging is used to assist in a doctor's evaluation for appendicitis in women who are pregnant . Asking questions to learn the history of symptoms and a careful physical examination are key in the diagnosis of appendicitis. The doctor will ask many questions to understand the nature, timing, location, pattern, and severity of pain and symptoms.
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