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#Surgery
An inflamed appendix in the pelvis may never produce somatic pain involving the anterior abdominal wall, but may instead cause suprapubic discomfort and tenesmus. In this circumstance, tenderness may be elic- ited only on rectal examination and is the basis for the recom- mendation that a rectal examination should be performed on every patient who presents with acute lower abdominal pain.
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owner: nerdparty67 - (no access) - McCaskie, A. W._ O'Connell, P. Ronan_ Williams, Norman S - Bailey & Love's Short practice of surgery (2018, CRC Press) - libgen.li.pdf, p1324


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