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Oct 1, 2020 Issue
Acute Appendicitis: Computed Tomography for Diagnosis in Adults [Cochrane for Clinicians]
In a nonpregnant adult with clinical signs and symptoms of appendicitis, computed tomography has a sensitivity of 95% and specificity of 94%.
Appendicitis is one of the most common causes of acute abdominal pain in adults and children. Find out which clinical decision rules are most useful in specific patient populations, when to use ultrasonography vs. computed tomography or magnetic resonance imaging, and which patients may be safely treated with antibiotics only.
Antibiotic treatment appears to be effective for children with uncomplicated appendicitis without evidence of perforation or rupture, with 97% of children discharged without surgery. Approximately one in seven children will eventually have recurrence and require surgery. A couple of days of intravenous antibiotics is an option before surgery.
What are the effects of surgery compared with antibiotics for acute appendicitis?
Apr 15, 2010 Issue
ACEP Releases Guidelines on Evaluation of Suspected Acute Appendicitis [Practice Guidelines]
The American College of Emergency Physicians (ACEP) has developed evidence-based recommendations to help physicians judge which clinical findings are most useful for guiding decision making in patients with suspected acute appendicitis. The guidelines also address the use of contrast dye in imaging and the choice of imaging modality in children.
Mar 15, 2008 Issue
Diagnosis of Appendicitis: Part I. History and Physical Examination [Point-of-Care Guides]
Appendicitis is a relatively uncommon, but potentially serious, cause of abdominal pain in the primary care setting. An accurate diagnosis is important to prevent unnecessary surgery and avoid complications.
Acute appendicitis is the most common reason for emergency abdominal surgery and must be distinguished from other causes of abdominal pain. Family physicians play a valuable role in the early diagnosis and management of this condition. However, the overall diagnostic accuracy achieved by traditional...
Appendicitis is common, with a lifetime occurrence of 7 percent. Abdominal pain and anorexia are the predominant symptoms. The most important physical examination finding is right lower quadrant tenderness to palpation. A complete blood count and urinalysis are sometimes helpful in determining the d...