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Visualisation of the apex in its entirety is required because appendicitis will may only affect the tip.

Refer to this study which concluded that the location of the appendix has wide individual variability,and the limitations of McBurney's point as an anatomic landmark should be recognised

The appendix can be found from the groin, to the umbilicus or even higher under the liver. It is rarely midline or in the left iliac fossa.

Appendicitis can be diagnosed when the outer diameter of the appendix measures greater than 6mm.

This image highlilghts the position of the caecum and the appendix

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