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BET 2: Utility of the speed bump sign in diagnosis of acute appendicitis
  1. Luke Boswel,
  2. Peter Hulme
  1. Manchester Royal Infirmary, Manchester University Foundation Trust, Manchester, UK
  1. Correspondence to Luke Boswel; production.emj{at}bmjgroup.com

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Clinical scenario

You are working in A&E and have just reviewed a patient with symptoms and clinical signs consistent with suspected acute appendicitis; you wonder whether there are any further clinical signs that may help your diagnosis and a referral to general surgery.

You recall hearing of the speed bump sign from a colleague and wonder how useful this sign is in the diagnosis of acute appendicitis.

Three-part question

(In adult patients) is (reported pain whilst travelling over speed bumps) indicative of (acute appendicitis?)

Search strategy

Medline 1946–February 2017 using the Ovid interface

Search terms: (appendicitis and (speed bump* OR bump*)).mp

Search outcome

Three search …

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