Emergency Care and Transportation of the Sick and Injured ...
ii. Ripe—pain in lower right quadrant. iii. Rupture—decrease in pain (decrease in pressure); generalized pain, rebound tenderness. b. It takes about 48 to 72 hours to progress from the early stage to the ripe stage. c. Dunphy sign is another way to evaluate for peritonitis. i. Severe abdominal pain in the right lower quadrant with coughing. d. ................
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