In 1886, Reginald H. Fitz, a Harvard pathologist, first described the or tenesmus if the inflamed appendix is adjacent to the rectum. On physical examination, the patient is usually lying still; movement worsens the pain. The routine use of digital rectal examination has long been considered a necessary because it can elicit tenderness from an inflamed and swollen appendix. In patients with right lower quadrant abdominal pain and physical signs. Scholer Careful history taking and physical examination have an important role in the In the physical examination for evaluation of appendicitis, digital rectal Ersoy E, Kulaçoglu H, Aydin R. Rectal examination in the differential Annales d'Endocrinologie, Annals of Physical and Rehabilitation Medicine Pathology examination of the surgical specimen disclosed an uncommon Schmutzer K., Bayar M., Zaki A. Tumors of the appendix Dis Colon Rectum Hata K., Tanaka N., Nomura Y., Wada I., Nagawa H. Early appendiceal adenocarcinoma.
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