Point-of-care ultrasound in the assessment of appendicitis

Case presentation A 15-year-old boy presents to the ED with 1 day of periumbilical non-radiating abdominal pain. The pain, described as a stinging sensation, started gradually 1 day prior to presentation after eating lunch and increased to an intensity of 8 out of 10 at its worst over the day. The patient reports that the pain has since improved to 4 out of 10. He does not have fevers, chills, anorexia, nausea, emesis, urinary symptoms, stool changes, testicular pain or swelling, and prior abdominal surgery. The patient has no significant medical or surgical history, takes no medications and has no allergies. He is afebrile with other triage vital signs notable for a BP of 135/77 mm Hg, low-grade tachycardia with an HR of 101 beats/min, a normal RR of 18 breaths/min and a normal oxygen saturation of 100% on room air. On physical examination, he is a well-appearing adolescent boy lying...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: Sono case series Source Type: research