RT Book, Section
A1 Bajaj, Lalit
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155297558
T1 Appendicitis
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155297558
RD 2024/04/25
AB Appendicitis  is  the  most  common  surgical  illness  of  childhood.The  presentation  of  appendicitis  in  children  is  variable,  and  many  other  conditions  mimic  it,  such  as  right  lower  lobe  pneumonia,  mesenteric  adenitis,  and  gastroenteritis.Blood  tests  such  as  white  blood  cell  count,  C-reactive  protein  (CRP),  and  procalcitonin  can  be  helpful,  but  are  not  reliable  for  excluding  appendicitis.Diagnostic  imaging  is  not  required  in  children  with  a  high  clinical  probability  of  appendicitis.Ultrasound  is  the  initial  imaging  modality  of  choice,  with  computed  tomography  (CT)  reserved  for  nondefinitive  sonographic  studies.Clinical  decision  rules  that  identify  low  risk  for  appendicitis  should  be  used  to  avoid  clinical  investigations  in  these  children.