I can say for sure as a community ER doc for 26 years that these is not a true statements no matter what anyone publishes.  I have seen multiple appy’s, both perf’ed and not yet perf’ed with completely normal labs and also afebrile, with pain easing while being observed in OBS.


On Aug 10, 2017, at 12:23 PM, Zeb Timmons <[log in to unmask]<mailto:[log in to unmask]>> wrote:

one or the other elevated (100% of adults).  100% of patients with complicated appy will have one of the two elevated.

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