In medical school I was taught that anorexia was a sign of appendicitis, but apparently that is no longer true.[1]
Patients with peritonitis will sit still and patients with colic will move around a lot. [1]
There was also a cochrane study that said that you can give patients with acute abdominal pain opioids without fearing that it will interfere with an accurate diagnosis [2]
1 Evaluation of Acute Abdominal Pain in Adults
SARAH L. CARTWRIGHT, MD, and MARK P. KNUDSON, MD, MSPH, Wake Forest University School of Medicine, Winston-Salem, North Carolina
2 Cochrane Briefs :Opioid Analgesia During Evaluation of Acute Abdominal Pain
Am Fam Physician. 2007 Oct 1;76(7):971.
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