The Four F's

[Dustdevil]

Must be the power of suggestion, but I have had two cases of cholecystitis this week that I've had to fly out.

One of them had the most textbook-perfect Murphy's sign that you would almost swear she was faking it. Sono and x-rays says she was not faking! She had all the F's except for fever, so it was pretty cut and dried. But she also had rebound at McBurney's point, so I had to consider the differential.

[AZCEP]

That's pretty comical, considering I just had one as well.

Only mine was 60+, male, thin, no gas

So much for the clinical indicators, eh :roll:

[Dustdevil]

I had a diverticulitis today that I took to the hospital for lab and x-ray. PA intercepted me and said no way was it diverticulitis. Surgeon came right behind him and diagnosed it as diverticulitis.

I love the small victories!

[mediccjh]

I don't think it is for abdominal pain.

The four F's that I'm familiar with:

Fat

Forty

Flatulent

Female

For cholecystitis

Hey, I lost my gallbladder, and I only had one...FAT!

[SSG G-man]

I knew the 4 F's for dating, but these are new to me.