Patient with silent appendicitis

Patient with silent appendicitis,the position that the appendix would most likely be at is in the retrocecal position.

Appendictis is the inflammation of the appendix occuring due to luminal obstruction .
this obstruction can be due to lymphoid hyperplasia in children and fecoliths,foreign body,and neoplasia in adults.

It classicaly presents as perlumbilical collc,paln shifting to the riht iliac fossa rif anorexia,and nausea.

The clinical signs include pyrexia,localized tenderness in the RIF muscel gurading and rebound tenderness