XXXX diagnosis: A case report.

@entity1 @entity390 @entity698 @entity4968 @entity281 @entity158 @entity490 @entity717 @entity221
OBJECTIVE: The purpose of this case report is to highlight and emphasize the need for an appropriate and thorough list of differential diagnoses when managing @entity1 , as it is insufficient to assume cases are mechanical, until proven non-mechanical. There are over 250,000 cases of @entity698 annually in the United States. Of these cases, <50% present with classic signs and symptoms of @entity158 in the right lower quadrant, mild @entity221 and @entity390 . It is standard for @entity1 who present with @entity698 to be managed operatively with a laparoscopic appendectomy within 24 hours, otherwise the risk of complications such as @entity281 , and even death increases dramatically. CLINICAL FEATURES: This is a retrospective case report following a 27-year-old male with missed @entity698 , who presented to a chiropractor two-weeks after self-diagnosed food @entity4968 . On assessment, he was tender with resisted @entity717 . Psoas Sign, McBurney's Point, vascular exam, hip exam, were negative. A diagnosis of an abdominal strain was provided. Two weeks later, he returned to the chiropractor without an improvement of symptoms. INTERVENTION _ OUTCOME: The @entity1 was sent to the hospital, where he was provided a diagnosis of missed @entity698 . He required a hemicolonectomy due to the associated phlegmonous mass. SUMMARY: When a @entity1 presents to a chiropractic clinic with symptoms of @entity490 , having a comprehensive list of non-mechanical differential diagnoses as well as mechanical differentials is crucial. Appropriate assessment and management of abdominal cases decreases the risk to @entity1 , as missed diagnoses often require more invasive interventions.
