بنت عمرها ٨ سنوات عندها ألم بطن من يوم، ترفض المشي وتمشي منحنية، وتتألم عند القفز. قيئت مرتين. الحرارة ٣٨٫١، النبض ١١٢. عند الضغط على أسفل يسار البطن تحس بألم في أسفل اليمين. ما الحالة المتوقعة؟

An 8-year-old girl has had abdominal pain for a day, refuses to walk and walks bent over, with pain on jumping. She has vomited twice. T 38.1 °C, HR 112. Pressing the left lower quadrant causes right lower quadrant pain. What is the likely condition?

1. Viral gastroenteritis
2. Appendicitis
3. Uncomplicated urinary infection
4. Simple constipation

Answer: B) Appendicitis. RLQ pain on LLQ pressure (Rovsing sign), pain with jumping and walking, fever and vomiting suggest appendicitis in a child. Children rupture more often because diagnosis is delayed.