Vomick Analysis: the New Diagnostic Tool

The child presents with abdominal pain and a fever.

"It started all of a sudden 45 minutes ago, and then she threw up!"

The parents are convinced that it must be an appendicitis:

"It must be appendicitis - it came on so quickly!!"

The triage nurse requests a urine sample as part of a thorough work-up to rule out the appendicitis, and to make some use of the 3-4 hour wait this family faces.

After 3 hours and several refusals to void, the child vomits again. The father presents the bowl full of emesis to the triage nurse:

"She vomicked again, and she's not going to pee for you. She doesn't want to, and she doesn't do stuff that she don't want to do! Test this puke instead. It will tell you that it's her appendix."