Does This Child Have Appendicitis?

Bundy, David G.; Byerley, Julie S.; Liles, E. Allen; Perrin, Eliana M.; Katznelson, Jessica; Rice, Henry E.

doi:10.1001/jama.298.4.438

Cited by 308 publications

(283 citation statements)

References 51 publications

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“…Physical findings in the abdominal wall pathologies have low specificity and often a clinically suspected intraabdominal lump proves to be in the abdominal wall(5). Clinical examination plays a key role in determining which children should undergo immediate surgical consultation for appendicectomy and who should undergo further diagnostic evaluation, including diagnostic imaging (6). However, the importance of clinical examination have become submerged beneath lot of investigations now a days.…”

Section: Discussionmentioning

confidence: 99%

Missed Abdominal Wall Abscess in a Child. Neglected Clinical Examination and Improper use of Ultrasonography?

2016

Ann Clin Anal Med

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ÖzetAkut karın ağrısı çocuklarda birçok tanı ve yönetim sorunları oluşturmaktadır. Tam bir sonografik klink tanı için klinisyen tarafından ayrıntılı klinik muayene ve uygun rehberlere ihtiyaç vardır. Biz akut karın ağrısına neden olan tanısı yanlış konulmuş karın duvarı apseli, klinik muayene ve uygun rehber kullanılmamış bir ço-cuk olguyu sunduk. Anahtar KelimelerKarın Ağrısı; Klinik Muayene; Tanı; Ultrasonografi AbstractAcute abdominal pain pose many diagnostic and management problems in children. There is need for a thorough clinical examination and proper guidance by clinician to the sonologist for the diagnosis. We report a child with acute abdominal pain due to abdominal wall abscess misdiagnosed because of lack of clinical acumen and improper use of ultrasonography.

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Section: Discussionmentioning

confidence: 99%

Missed Abdominal Wall Abscess in a Child. Neglected Clinical Examination and Improper use of Ultrasonography?

2016

Ann Clin Anal Med

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“…1, 11 Kharbanda ve arkadaşları akut apandisit tanısı için anlamlı öykü, fizik muayene ve laboratuvar bulgularını değerlendirmiş; lojistik regresyon analizinde bulantı, yerel sağ alt kadran ağrısı, yürümede güçlük, rebound hassasiyet ve mutlak nötrofil sayısı>6,750/mm 3 olması halinde akut apandisit olasılığının daha yüksek olduğunu saptamıştır. Bu veriler kullanılarak yaptıkları skorlama sisteminin negatif olabilirlik oranını %0,05 olarak hesaplamışlardır.…”

Section: Discussionunclassified

“…Dört yaşından küçük hastalarda perfore apandisit oranı %70-100 arasında bildirilmektedir. 9,11 Bu çalışma ile ilk başvuru sırasındaki öykü, fizik muayene ve laboratuvar bulguları değerlendirilerek, cerrahi gerektiren rahatsız-lıkların ayırdedilmesinde yardımcı olabilecek verilerin saptanması amaçlanmıştır.…”

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The Value of Clinical Findings in Children Admitted to Pediatric Emergency Department with acute abdominal pain

Duman¹,

Yılmaz²,

Akgül³

et al. 2015

Turk J Ped Em Int Care Med

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“…Without pain scores, the true degree of pain for these patients is unknown. Although recent literature suggests 91.0% of patients with appendicitis will have moderate to severe pain, 11,25 we were unable to determine the severity of pain in our population. In addition, this data set does not capture patients who were offered analgesia and declined.…”

Section: Limitationsmentioning

confidence: 91%

Pain management of acute appendicitis in Canadian pediatric emergency departments

Robb

Ali

Poonai

et al. 2016

CJEM

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Objectives: Children with suspected appendicitis are at risk for suboptimal pain management. We sought to describe pain management patterns for suspected appendicitis across Canadian pediatric emergency departments (PEDs). Methods: A retrospective medical record review was undertaken at 12 Canadian PEDs. Children ages 3 to 17 years who were admitted to the hospital in February or October 2010 with suspected appendicitis were included. Patients were excluded if partially assessed or treated at another hospital. Data were abstracted using a study-specific, standardized electronic data extraction tool. The primary outcome was the proportion of children who received analgesia while in the emergency department (ED). Secondary outcomes included the proportion of children receiving intravenous (IV) morphine and the timing of analgesic provision. Results: A total of 619 health records were abstracted; mean (SD) patient age was 11.4 (3.5) years.

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Does This Child Have Appendicitis?

Cited by 308 publications

References 51 publications

Missed Abdominal Wall Abscess in a Child. Neglected Clinical Examination and Improper use of Ultrasonography?

Missed Abdominal Wall Abscess in a Child. Neglected Clinical Examination and Improper use of Ultrasonography?

The Value of Clinical Findings in Children Admitted to Pediatric Emergency Department with acute abdominal pain

Pain management of acute appendicitis in Canadian pediatric emergency departments

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