What is the most common acute abdominal inflammatory process in children (after gastroenteritis)?
What causes appendicitis?
occurs when the lumen of appendix becomes obstructed and infected
When might a perforation occur in infants and young children with appendicitis?
6 to 12 hours
What is the presentation of appendicitis?
What are the differentials of appendicitis?
inflammatory bowel disease
ovarian cysts, torsion, neoplasms
WHat transducer should be used during an appendicitis exam?
5 - 7 MHz linear array
What are the methods in examining for appendicitis?
RLQ & pelvic - females
gradual graded compression over the area of the appendix
graded compression technique
How is appendicitis diagnosed with ultrasound?
an outer diameter greater than 6 mm with compression is consistent with appendicitis in children and adults in a transverse plane
rebound pain is consistent with appendicitis
an appendicolith is virtually diagnostic