He was tender in the right iliac fossa (part of the abdomen). The diagnosis of gastroenteritis was made and plans were made to discharge him home.įollowing discharge, Mr P’s symptoms worsened which resulted in him being readmitted to hospital. He still had sustained pain and tenderness. A diagnosis of either gastroenteritis or appendicitis was given. Localised inflammation of the inner wall of the abdomen was found. On examination, Mr P’s abdomen was soft, tender over McBurney’s point (the point that roughly corresponds to the base of the appendix) and guarding (tensing of the abdominal walls) was present. The abdominal pain was described as ‘stabbing’ and worse on movement. A surgical admission assessment noted that the history was of diarrhoea, then vomiting. Mr P was referred into the inpatient hospital system under the surgical team. The working diagnosis in A&E was acute appendicitis. Later that day, there were additional signs of tenderness in the abdomen and there was rebound tenderness and Rovsing’s sign (a sign of appendicitis where palpation of the left lower quadrant of the abdomen increases the pain felt in the right lower quadrant) was present.

Mr P was found to be dehydrated and had a heart rate exceeding the normal resting rate. By the next day his abdominal pain had worsened and he struggled to sit up in a chair. In the early hours of the morning, Mr P suddenly developed vomiting, diarrhoea and abdominal pain. The weeks and months following – administering the estate.Warning signs that an attorney is abusing their position.Removing an attorney from a Lasting Power of Attorney.Financial Considerations in Separation, Divorce and Dissolution.

Burst appendix