General emergency departments use CT to diagnose abdominal pain in children more often

(Children's National Health System) A child with non-traumatic abdominal pain, a common symptom of appendicitis, is more likely to receive a computed tomography (CT) scan in a general emergency department (ED) than if he or she visited a pediatric emergency department, according to a study published in Pediatrics.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

Related Links:

Publication date: Available online 20 February 2019Source: The American Journal of SurgeryAuthor(s): Timothy Bax, Matthew Macha, John MayberryAbstractAbdCT for the evaluation of AAP in the ED in the US may be excessive and is potentially (although rarely) misleading and harmful. A selective policy of ‘AbdUS first’ combined with an observation unit and/or surgeon evaluation prior to AbdCT is preferred to a ‘routine AbdCT’ policy. Repeated AbdCTs for abdominal pain are not recommended because of cumulative radiation exposure. Standardized and complete history and physical examination, such as that ori...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
ConclusionThe treatment of pseudomyxoma differs substantially depending on whether it is intraperitoneal or extraperitoneal. The risk of recurrence is such that follow-up, based on a physical examination, CT scan and serum markers, is essential.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
(CHICAGO) — When emergency tests showed the telltale right-sided pain in Heather VanDusen’s abdomen was appendicitis, she figured she’d be quickly wheeled into surgery. But doctors offered her the option of antibiotics instead. A new study from Finland shows her choice is a reasonable alternative for most patients with appendicitis. Five years after treatment with antibiotics, almost two-thirds of patients hadn’t had another attack. It’s a substantial change in thinking about how to treat an inflamed appendix. For decades, appendicitis has been considered a medical emergency requiring immediat...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Disease healthytime onetime Source Type: news
​BY ARJUN BHARAD​WAJ​ &AHMED RAZIUDDIN, MD​A 41-year-old man who recently immigrated from Africa came to the ED with abdominal pain. The patient primarily spoke Tigrinya, and an interpreter was used in taking a history. The patient's abdominal pain had started four hours earlier, which he described as squeezing or cramping mid-epigastric and umbilical pain. The pain did not change or radiate.He had also had three episodes of nonbloody emesis. This was a new problem for him, and he hadn't encountered anyone sick or with similar symptoms. His last bowel movement was the previous night, and no changes in bowel or ...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
Publication date: Available online 12 July 2018Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Michelle Lyman, Kristina Langenborg, Bret Kricun, Daniel RellesAbstractShunt migration is a rare complication of ventriculoperitoneal (VP) shunts in the treatment of hydrocephalus. This case highlights the migration of a VP shunt through the abdominal wall into the rectus femoris muscle of a 4-year-old girl. The malpositioned shunt was initially visualized in the thigh on an x-ray shunt series for an enteritis work up. It was subsequently visualized on CT scan during an evaluation for appendicitis. Seven months follow...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Aim: Right iliac fossa pain is a common surgical presentation, yet the clinical diagnosis of appendicitis is challenging, particularly in children, young women and the elderly. In an attempt to minimise the negative appendicectomy rate, pre-operative imaging is often utilised. Aim to establish the accuracy of pre-operative ultrasonography (USS) and computed tomography (CT) scanning in the diagnosis of acute appendicitis.
Source: International Journal of Surgery - Category: Surgery Authors: Source Type: research
Rationale: Superior mesenteric venous thrombosis (SMVT) is a rare condition that carries high mortality. Very few cases have been reported of SMVT, complicating acute appendicitis. Early recognition requires a high index of suspicion and is crucial in successful treatment of such a life-threatening condition. Patient concerns: A 33-year-old male presents with a 4-day history of right lower abdominal pain, nausea and subjective fever. CT scan showed acute appendicitis and a central filling defect in the superior mesenteric vein. Diagnoses: Acute appendicitis complicated by SMVT. Interventions: Intravenous antibio...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
BACKGROUND Abdominal pain is the common reason patients seek treatment in emergency departments (ED), and computed tomography (CT) is frequently used for diagnosis; however, length of stay (LOS) in the ED and risks of radiation remain a concern. The hypothesis of this study was the Alvarado score (AS) could be used to reduce CT scans and decrease ED LOS for patients with suspected acute appendicitis (AA). METHODS A retrospective review of patients who underwent CT to rule out AA from January 1, 2015, to December 31, 2015, was performed. Patient demographics, medical history, ED documentation, operative interventions, ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - Category: Orthopaedics Tags: Original Articles Source Type: research
ConclusionsThis report adds to the limited stock of available literature on this unusual issue and strengthens the evidence base on the best approach to support informed clinical decision making. The significant clinical implication of such case reports is increased identification rate of rare clinical conditions which otherwise often go unnoticed.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
This study aimed to evaluate and to investigate the association of some laboratory markers with the stage of the acute appendicitis. MATER AL AND METHODS: The hematological parameters (white blood cell count, red cell distribution width, platellet distribution width, mean corpuscular volume, and mean platelet volume values) and tomography scans of 200 patients who admitted to the emergency department with abdominal pain were retrospectively reviewed. Computed tomography grading about the severity of the cases was carried out by two radiologists, as grade 0 for normal appendix to grade 3 for perforated appencities. The ...
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
More News: Appendicitis | Children | CT Scan | Emergency Medicine | International Medicine & Public Health | Pain | Pediatrics | PET Scan | Study