Appendix A

Algorithm of acute appendicitis diagnostic

(obligatory)

 

        Pain in right low quadrant of abdomen

        

                Kocher’s sign, local pain, muscle’s resistance                      

 

 

              Yes                                                       No

 

 

                                                                       Ultrasonic  

 

 

                                                            Pathology of gallbladder,

                                                                  pancreas, kidneys,

                                                                     gynaecology

 

 

                                                                No                       Yes  

 

 

                                           Laparoscopy                       Special

                                                                                      treatment

                                                                                        

 

 

 

Acute appendicitis,      Surgical pathology                Additional

       surgery                        is absent                         examination