patients, however, also had more abdominal signs, and analysis after allowance for rebound tenderness showed that rectal tenderness on the right lost its significance. In women of childbearing age, among whom the rate of appendicectomy at which appendicitis is not found is high, the findings on rectal examination did not correlate significantly with the final diagnosis. TABLE V-Relation between right sided rectal tenderness and acute appendicitis by age and sex No (%) of patients with appendicitis if right sided rectal tenderness: Age Odds 95% Confidence (years) Absent Present ratio interval Male patients 0-33(51) 23(64) 1-72 0-69to 4-35 15-80 (61) 38 (58) 0-88 0-46 to 1-69 30-25 (45) 9 (75) 3-72 0-80 to 24-39 u45 25 (31) 2 (40) 1-49 0-12 to 13-83 Female patients 0-20(44) 25(51)
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Ireland et al. (1991) studied this question.
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