A 19-year-old unmarried female named Rani Gomes is admi ed to Na onal Hospital, Sri Lanka, with a history of fever, right-sided abdominal pain and vomi ng. She is admi ed to Ward 45 on 18 July 2012 at 10.32
in the morning. On examina on by the admi ng doctor (Dr G Perera, Medical O cer), a provisional diagnosis of ‘twisted ovarian cyst / acute appendici s’ is made. She is seen by the Senior House O cer, Dr Rohan Gamage, and later by the consultant in charge of the ward. She undergoes surgery and an appendicectomy is performed on her. She is discharged on 23 July 2012 at 2.30 in the a ernoon by Dr Shalini Coory, IMO.