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Hospital Medicine

Appendicitis

OVERVIEW: What every practitioner needs to know Are you sure your patient has appendicitis? What are the typical findings for this disease? Acute appendicitis is the most common abdominal pediatric surgical emergency. There are approximately 70,000 cases of pediatric appendicitis each year. Despite its frequency, appendicitis remains a diagnostic challenge when patients do not present…
Imaging

Appendicitis

Preliminary Diagnosis: Appendicitis I. What imaging technique is first-line for this diagnosis? CT scan of the abdomen and pelvis with IV and without oral contrast II. Describe the advantages and disadvantages of this technique for diagnosis of appendicitis. Advantages CT scanning is diagnostic for appendicitis and can detail any secondary complications such as periappendiceal abscesses,…
Hospital Medicine

Appendicitis

Appendicitis I. What every physician needs to know. Appendicitis—acute inflammation of vermiform appendix—is one of the most common and treatable causes of acute abdominal pain. Estimated lifetime risk of appendicitis is about 7 to 8 percent. Its cause remains poorly understood until this day. Infections, environmental, and genetic factors have been implicated in the recent…
Infectious Diseases

Appendicitis

OVERVIEW: What every practitioner needs to know Are you sure your patient has appendicitis? What should you expect to find? The typical presentation for appendicitis is in a young patient (10-50 years of age – peak incidence second and third decades), who presents with 12-36 hours of vague abdominal pain, initially localized in the periumbilical…
Newsline

CT deemed best test for adult appendicitis

Acute appendicitis can be difficult to diagnose because its symptoms mirror those of other illnesses. Preoperative CT has been used increasingly to diagnose suspected cases since the introduction of multidetector CT.
Critical Care Medicine

Gastrointestinal Emergencies: Appendicitis

Also known as: Acute Appendicitis 1. Description of the problem What every clinician needs to know Acute appendicitis in children is similar to that in adults. Children often have less right lower quadrant (RLQ) pain than adults and may have more vomiting. Otherwise, the typical presentation is similar, with abdominal pain, anorexia, vomiting, fever, and…
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