What is important to the GP in recognizing acute appendicitis in children: a delphi study

BMC Primary Care

Table 2 Final ranked consensus on symptoms

Feature: Symptoms	Requirement
Feature: Symptoms	Ask	Record present	Record absent	Record finding
Location of abdominal pain	100			100
Abdominal pain	100	100	96
Duration of pain	96
Fever	96	100	96
Abnormal menstrual cycle	96	86
Pregnancy	91	100	77
Vomiting	91	100
Constipation	91	100
Diarrhea	91	100
Transportation pain	91	100	73
Intensity of pain	86
Prior abdominal operation	86	91
Type of pain	82			86
Use of analgesics	82
Opioids		91
NSAIDs		91
Paracetamol		86
Whether pain is acute or chronic	77			86
Nausea	77	86
Migration of pain	77
Differential diagnosis UTI	77
Dysuria	76	91
Sexual risk behavior	73	77
Blunt abdominal trauma		100
Rectal bleeding		91
Vaginal bleeding		91
Hematuria		91
Chronic disease		82
Frequent micturition		73

The 7 requirements in bold are considered important even when all items are negative. Figures represent consensus percentages (≥ 70%). Abbreviations: NSAID, non-steroidal anti-inflammatory drug; UTI, urinary tract infection

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