Now, I may not always be at my best when I'm pulled out of bed in the middle of the night but WOW, this one floored me.
I was just about to leave work yesterday and I got a phone call... "You know that appendicitis you took in the other night?" ...
We picked up a (generally larger) lady complaining of abdominal pain that started around the belly button and later moved down to her lower right abdomen. There was some nausea and a little pain in her right lower back. Without getting too specific in all the details and questions asked, I concluded this lady probably had appendicitis. Virtually all of the symptoms and findings on exam all supported this. Needless to say, we took her in to the hospital and passed off care to the emergency department.
Seems she called our head office to let us know what happened. She said even the physician at the hospital was suspecting appendicitis... Right up to the point the baby started to deliver
She gave birth to a healthy, FULL TERM infant and had absolutely no clue she was pregnant. Because of all the questions asked, the answers given, and the physical assessment this didn't even seem possible (although because she was a larger lady, the physical assessment was somewhat masked by her body mass).
Moral of the story... If you think you have appendicitis, make sure you're not pregnant first
As far fetched as this sounds, it is absolutely true. I wouldn't have believed it had I not been there myself.