Factors influencing surgical management of acute appendicitis in a large university hospital without a dedicated emergency theatre

ConclusionsThis review highlights the impact of limited theatre access for on-call emergency admissions, with a significant portion of appendicectomies being done on elective lists or out-of-hours.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research

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Researchers from Germany have received funding from the country's ministry...Read more on AuntMinnie.comRelated Reading: SonoSim debuts AI-guided ultrasound training for nurses Ultrasound can benefit daily rheumatology practice AI helps characterize breast masses on ultrasound Ultrasound followed by CT effective for appendicitis 2 ultrasound features predict cancer recurrence risk
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
CONCLUSION: Such high level reliable correct extraction of inflamed appendix encourages to use the automatic extraction software in the diagnosis procedure of suspected acute appendicitis. PMID: 32008549 [PubMed - in process]
Source: Current Medical Imaging Reviews - Category: Radiology Tags: Curr Med Imaging Rev Source Type: research
Our purpose is to describe the ultrasound sign for a correct non-invasive diagnosis of omental infarction in children. From January 2014 to December 2018, a total of 234 children (109 boys and 125 girls, age range 3 –15 y) with acute right-sided abdominal pain, admitted to our hospital with a presumptive diagnosis of acute appendicitis, were prospectively evaluated. In all patients, abdominal ultrasound was performed, and the omental fat was always evaluated. In 228 patients, the omental fat resulted to be no rmal or hyperechogenic, never tethered, and they results affected by other causes of abdominal pain different...
Source: Ultrasound in Medicine and Biology - Category: Radiology Authors: Tags: Original Contribution Source Type: research
Researchers from France and the U.K. have developed an MRI-based, five-point...Read more on AuntMinnie.comRelated Reading: MRI faster, cheaper than ultrasound for appendicitis Optical imaging finds small tumors New imaging method could boost ovarian cancer detection Ultrasound helps predict ovarian cancer risk Cinematic rendering enhances ovarian cancer evaluation
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
Ultrasound scans followed by CT if necessary may be the most cost-effective...Read more on AuntMinnie.comRelated Reading: MRI faster, cheaper than ultrasound for appendicitis Adult hospitals overuse CT for appendicitis in kids MRI should be 1st choice for pediatric appendicitis MRI matches CT for appendicitis -- and without radiation US, CT, MRI offer options for diagnosing appendicitis
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
We present a 1-year-old boy who was asymptomatic and brought to the emergency room on suspicion of his having swallowed a pin. Confirmation of ingestion of the pin and its passage through the gut was achieved with abdominal radiography. The pin, which was followed with serial abdominal radiographs, was expected to leave the gastrointestinal tract, but was fixed to the right lower quadrant. When the pin had not passed after 10  days, and with increasing concern about the likelihood of perforation, ultrasonography was used to locate its exact position and allow surgical removal. Only a few cases involving the use of ult...
Source: Journal of Ultrasound - Category: Radiology Source Type: research
We report the case of a 6-year-old girl who presented with generalized abdominal pain and flu-like symptoms. Blood tests and AUS revealed typical findings of AP and a nasopharyngeal aspirate was positive for IVA. Twenty-four hours later, the patient developed signs of acute appendicitis, which was also confirmed by AUS. This case highlights the importance of AUS in the management of acute abdominal conditions in children, including reactive entities such as appendicitis, as well as the need to consider IVA as a potential causal agent of AP. PMID: 31985255 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
ConclusionThe importance of POCUS in scanning right iliac fossa for patients present with signs and symptoms that are mimicking acute appendicitis for diagnosing a rare pathology and avoiding the risk of ionizing radiation hazards and unnecessary surgical intervention.
Source: Critical Ultrasound Journal - Category: Radiology Source Type: research
CONCLUSION: The strategy of repeating limited focused US followed by CT scan in cases that remain inconclusive has good diagnostic accuracy and reasonable NAR and decreases the number of CT scans. PMID: 31913249 [PubMed - as supplied by publisher]
Source: Pain Physician - Category: Anesthesiology Authors: Tags: Pediatr Emerg Care Source Type: research
​Before you break out the bottles for a paracentesis, you may want to consider doing a test for ascites. Many procedures require executing an old-school test before even looking at a result or grabbing an ultrasound machine. Knowing what to look for on a physical exam may guide your practice and intervention dramatically. Using noninvasive tools first could help your patient avoid other tedious or unnecessary testing, which may also result in lost time. Incorporating ultrasound into your practice may also help you nail a diagnosis or allow you to perform a procedure better than you expected.A markedly distended abdomen d...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
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