The landlord wants to diagnose appendicitis, unless the appendix is very congested and swollen, B-ultrasound and CT may be able to see the abnormality of the appendix. Other laboratory tests cannot diagnose appendicitis. The diagnostic criteria of appendicitis are only 1: open the abdominal cavity during operation to see the appendix, or congestion, swelling, suppuration, necrosis or perforation.

I have seen such a case, with typical metastatic right lower abdominal pain, Macmillan tenderness, rebound pain, no muscle tension, positive colon inflation test, high hemogram and normal urine routine. What a typical appendicitis. It was only after the operation made progress that it was found that there was no problem with the appendix, which was appendicitis.

Once appendicitis is highly suspected, the first choice is surgery. Many patients are unwilling to have surgery, afraid of risks and want to treat conservatively. However, we should know that recurrent chronic appendicitis will cause the appendix to adhere to the surrounding tissues due to repeated serous exudation around the appendix, which means that every time 1 attack, the adhesion will increase by 1 minute, which will bring greater trouble and risk to your final surgical treatment.

To sum up:

1, personal opinion, suggest the landlord to operate. No matter how much money you spend on tests, under the principle of safety first, and under the guidance of the professional spirit of trying to make your words and deeds seamless, the doctor who accepts you (at least if I answer) will never tell you that "the diagnosis is appendicitis". Seeing appendicitis under direct vision or pathological diagnosis is the gold standard for diagnosing appendicitis.

2. It is suggested that the landlord operate as soon as possible;

I wish the landlord a speedy recovery.