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Appendicitis

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SGEM#155: Girls Just Want To Have Fun – Not Appendicitis

Guest Skeptics:  Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is the creator of SketchyEBM.  
thesgem.com
about 4 years ago
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How useful is the pediatric appendicitis score in adolescent females?

You will undoubtedly see a patient with right lower quadrant abdominal pain in the near future. One of the most challenging patient populations to evaluate are adolescent females with RLQ pain. Why? Because of the ovaries of course! Their presence adds to the differential diagnosis and thus, female patients often require more testing to make the diagnosis.  
pemcincinnati.com
over 4 years ago
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CT Does Not Improve Outcome in Children With Appendicitis

Abdominal CT for the preoperative diagnosis of appendicitis in children was not associated with better outcomes, a new study reports.  
medscape.com
over 4 years ago
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Laparoscopic vs Open Surgery for Appendicitis

Commentary on a study on the outcomes of laparoscopic vs open surgery for appendicitis, published in the British Journal of Surgery.  
medscape.com
over 4 years ago
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Appendicitis: Pearls and Pitfalls in Adult and Pediatric Populations - emdocs

There is no individual sign or symptom that can reliably exclude appendicitis in any patient. Appendicitis should be considered one diagnosis among a large differential. Concerning cases with a negative CT should be considered for admission. Radiation should be limited in children. Treatment may include antibiotics along with surgery.  
emdocs.net
over 4 years ago
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Evidence for Antibiotics-First Strategy in Uncomplicated Appendicitis

Mounting evidence supports the strategy of antibiotics-first for treating adults with acute uncomplicated appendicitis (AUA), but several questions remain to be answered, according to a systematic review.  
medscape.com
over 4 years ago
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Emergency Medicine Literature of Note: The New “Standard of Care” for Appendicitis

Ryan,Excellent post and great points. Are we at the point now when we need to offer medical management in uncomplicated appendicitis? I understand that the Europeans are perhaps ahead of us on this one.In my regional ED in Australia, I posed this question to our surgeons. In the end, the consensus was to stick with the knife. They feel that it is very much a minor surgery and medical therapy will fail about 1/3 of the time (a failure has been variable defined but generally means they have to get their appendix out anyway after some period of time.) At least they have been keeping up with the literature... but probably encouraged by our ED pushing the issue a bit. They just can't get rid of their knives. I guess the other question comes up; do we offer medial treatment before engaging the surgeons. This could open up a whole can of worms if they eventually have to get their appendix out and the surgeons are not happy about it. In the end, I think this will have to be a collaborative decision after discussion with the surgical team as they will be the ones to manage any complications, probably admit the patient for antibiotics, and operate on the "failures." It will be interesting to see how things change in the next 5-10 (or one hundred) years.  
emlitofnote.com
over 4 years ago
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Many Kids With Uncomplicated Appendicitis Can Skip Surgery

Most children and their families who opted for nonoperative management of uncomplicated appendicitis avoided surgery at 1 year, supporting the idea of patient choice.  
medscape.com
over 4 years ago
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Appendicitis: Longer Antibiotic Treatment May Not Help

Appendectomy patients should know that extended treatment with antibiotics may not improve outcomes.  
medscape.com
over 4 years ago
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Appendicitis in Pregnancy | EMBlog Mayo Clinic

Author: Eric Funk, MD (@efunkEM) How common is appendicitis in pregnancy? Appendicitis during pregnancy is relatively uncommon.  Most …  
emblog.mayo.edu
almost 5 years ago
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US vs CT for Appendicitis: Are We Missing Anything?

As the use of ultrasound increases, the use of CT declines, but is ultrasound really a good substitute for CT?  
medscape.com
almost 5 years ago
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BMJ paper wins Ig Nobel award for speed bump diagnosis of appendicitis

The 2015 Ig Nobel award for Diagnostic Medicine, for a study showing that pain while travelling over speed bumps is a sign of acute appendicitis, was presented to Helen Ashdown and her UK team on 17 September at the awards’ 25th annual ceremony, held at Harvard University in Cambridge, Massachusetts, USA.  
feeds.bmj.com
almost 5 years ago
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Racial Gap in Management of Pediatric Appendicitis Pain

There are marked racial disparities in analgesia administration, and particularly opioid administration, in children with appendicitis treated in US emergency departments, a new study has suggested.  
medscape.com
almost 5 years ago
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Boxmedicine - Quality Revision Video Tutorials for Medical Students

We produce high quality live and recorded multimedia video tutorials for medical students - not just to pass exams, but to become good junior doctors, too.  
boxmedicine.com
almost 5 years ago
Www.bmj
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Routine appendectomy could be abandoned for uncomplicated appendicitis, study finds

An appendectomy may not be needed in patients with uncomplicated acute appendicitis, researchers have reported in JAMA.1  
feeds.bmj.com
about 5 years ago
Www.bmj
2
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Routine appendectomy could be abandoned for uncomplicated appendicitis, study finds

An appendectomy may not be needed in patients with uncomplicated acute appendicitis, researchers have reported in JAMA.1  
feeds.bmj.com
about 5 years ago
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The man who cut out his own appendix - BBC News

Russian surgeon, Leonid Rogozov, got appendicitis while on an Antarctic mission - he had to operate on himself.  
bbc.co.uk
over 5 years ago
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Why we do what we do: Ultrasound for appendicitis

Why we do what we do has returned – this time focusing on the use of ultrasound in appendicitis, which has become the test de rigeur these days in most Pediatric Emergency Departments. I won’t belabor the point on how important it is to correctly diagnose appendicitis. It peaks between ages 9-12, and can lead to perforation within 36-72 hours. Missed appendicitis is also one of the biggest causes of filed malpractice claims.  
pemcincinnati.com
over 5 years ago
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Ultrasound for Pediatric Appendicitis - HQMedEd.com

Appendicitis is the most frequent surgical emergency in children, peaking in incidence at 9-12 years of age.  Left untreated, obstruction of this recess can lead to perforation in 36 hours with increased morbidity.  Because delayed diagnosis may impart long term consequences, it is also one of the most frequently successful malpractice claims against emergency physicians (Ma 2008).  
hqmeded.com
over 5 years ago