Pediatric Appendicitis

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created 5 years ago by Annabelle
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1

What is the most common acute abdominal inflammatory process in children (after gastroenteritis)?

Appendicitis

2

What causes appendicitis?

occurs when the lumen of appendix becomes obstructed and infected

3

When might a perforation occur in infants and young children with appendicitis?

6 to 12 hours

4

What is the presentation of appendicitis?

RLQ pain

vomiting

5

What are the differentials of appendicitis?

inflammatory bowel disease

ovarian cysts, torsion, neoplasms

6

WHat transducer should be used during an appendicitis exam?

5 - 7 MHz linear array

7

What are the methods in examining for appendicitis?

RLQ & pelvic - females

gradual graded compression over the area of the appendix

graded compression technique

8

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