Appendicitis Pain Progression & Clinical Sign Simulator

Interactive Pathophysiology Timeline, Physical Exam Station & Alvarado Triage Model

Abdominal Mapping & Pain Heatmap

Hour 8: Visceral -> Somatic Shift
Anatomical Position:
Umbilicus (T10) R ASIS McBurney's Point Maneuver Active
Visceral T10 (Dull/Crampy)
Somatic Parietal (Sharp/Focal)
Peritoneal / Diffuse Rigidity

Patient Telemetry & Inflammatory Markers

Simulated Trajectory
Body Temp
37.6 °C
99.7 °F (Low Grade)
Heart Rate
88 bpm
Mild Tachycardia
WBC Count
12.4 k/µL
Leukocytosis ↑
CRP / Neutrophils
79%
Left Shift (+1)

Clinical Timeline Progression (0h - 48h+)

Hour 8
Acute Suppurative Phase (Hour 6 - 18) Somatic Parietal Fibers (Spinal Nerves T12-L1)

Intraluminal pressure exceeds venous capillary pressure. Transmural inflammation contacts the parietal peritoneum. Pain transitions from vague midline cramping to sharp, intense, localized right lower quadrant pain precisely at McBurney's point.

Key Symptoms: Anorexia, localized RLQ tenderness with guarding, nausea, low-grade fever.

Physical Exam Maneuver Suite

Click Maneuver to Test
Exam Feedback: Select a clinical maneuver above to simulate palpation kinematics and observe patient peritoneal response.

Alvarado Diagnostic Score & Clinical Stratification

MANTRELS Criteria (0 - 10)