5.Elevated WBC normal inpregnancy1st-2nd T:16000:Atlabor: 20000 -30000<10000:morereassuring6.Commonlyconfusedwithcholecystitis,pretermlabor,pyelonephritis,renal colic,placentalabruption, or degeneration of a uterineleiomyomaThere is no one reliable Signor Symptomthat canaid inthediagnosis of appendicitis in pregnancy
5.Elevated WBC normal in pregnancy • 1 st – 2 nd T: 16000 • At labor: 20000 – 30000 • <10000: more reassuring 6. Commonly confused with cholecystitis, preterm labor, pyelonephritis, renal colic, placental abruption, or degeneration of a uterine leiomyoma. There is no one reliable Sign or Symptom that can aid in the diagnosis of appendicitis in pregnancy
Symptoms1. Abdominal pain (almost always): Site:RLQ:Most reliable sxMost common even in 3rd T (Yan et al, 2009)1st T: RLQ2nd T: At level of umbilicus3rd T: Diffuse or RUQ
Symptoms 1. Abdominal pain (almost always) • Site: RLQ: Most reliable sx Most common even in 3 rd T (Yan et al, 2009) 1 st T: RLQ 2 nd T: At level of umbilicus 3 rd T: Diffuse or RUQ