However, some people may have a pattern of symptoms that recur.
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If there is a fluctuating consciousness along with stiff neck and headache, a spinal tap for diagnosis needs to be done immediately.

Bleeding at any other time, other than your expected monthly period, is also considered unusual.
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It is possible that a diagnosis of acute appendicitis can be missed or delayed because symptoms can vary amongst individuals.
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About half the cases of appendicitis are diagnosed without imaging studies, but when the symptoms are atypical, these tests help confirm the condition.