Appendicitis: common and commonly missed - the story of Alice Tapper.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL

Diagnosis Pub Date : 2025-08-01 DOI:10.1515/dx-2023-0142

Antonio J Dajer, Andrew P J Olson

引用次数: 0

Abstract

Objectives: The misdiagnosis of appendicitis remains frequent. Better understanding of its clinical evolution over time would decrease the incidence of misdiagnosis.

Case presentation: At the Society to Improve Diagnosis in medicine conference in Cleveland Ohio in October 2023, Alice Tapper and her father, CNN journalist Jake Tapper, presented her case of misdiagnosed appendicitis. Thanks to meticulous notes and a detailed timeline, the case vividly demonstrates the protean nature of appendicitis as well as the cognitive pitfalls of clinicians who treat it.

Conclusion: McBurney's point tenderness is over-emphasized as the key to the diagnosis of appendicitis.

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阑尾炎：常见和常被忽视——爱丽丝·塔珀的故事。

目的：阑尾炎的误诊率居高不下。随着时间的推移，更好地了解其临床演变将减少误诊的发生率。病例介绍：2023年10月，在俄亥俄州克利夫兰举行的医学会议上，Alice Tapper和她的父亲，CNN记者Jake Tapper，介绍了她被误诊的阑尾炎病例。多亏了细致的笔记和详细的时间表，这个病例生动地展示了阑尾炎的千变万化的本质，以及治疗阑尾炎的临床医生的认知陷阱。结论：过分强调McBurney点压痛是阑尾炎诊断的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnosis MEDICINE, GENERAL & INTERNAL-

CiteScore

7.20

自引率

5.70%

发文量

期刊介绍： Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.　 Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error