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An Appendicitis Risk Calculator: A New Diagnostic Tool at the Cutting Edge

We are always looking for a way to maximize our clinical decision making using our history-taking, physical exam, and laboratory and imaging studies to determine who might have appendicitis. This week Kharbanda et al. ( 10.1542/peds.2017-2699 ) present a validation study of a “clinical calculator” that was derived from 9 emergency departments and more than 2400 children of which 40% had appendicitis. The validity of the derived score was then tested in a single emergency department involving more than 1400 children both pre and post the development of this calculator of which 35% had appendicitis.  The investigators used a variety of variables including age, gender, temperature, nausea/vomiting, descriptors regarding the pain, and white blood cell counts to create a “pediatric Appendicitis Risk Calculator: (pARC) which was then compared to another scoring system the Pediatric Appendicitis Score.  As you will see as you read through the results of this study, the pARC score performed better than the Pediatric Appendicitis Score. Are you using a score system to make your diagnosis of appendicitis?  If so, would you use this new scoring system instead of one you were using previously?  We encourage you to explore the findings in this study and excise the information that suggests that this new scoring tool is one worth using the next time you have a patient whose abdominal pain is suspicious for appendicitis.

Appendicitis - Bookshelf


Acute Appendicitis: New Insights for the Healthcare Professional: 2011 Edition, ScholarlyPaper
34 pages
Acute Appendicitis: New Insights for the Healthcare Professional: 2011 Edition, ScholarlyPaper

Acute Appendicitis: New Insights for the Healthcare Professional: 2011 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Acute Appendicitis in a compact format.

Appendicitis
216 pages
Appendicitis

In operating on cases of obstructive appendicitis the greatest care must be taken in manipulating the tense tube, and where the appendix is retrocaecal or in a congenital fossa, its removal without rupture in an advanced case may be an extremely difficult operation. Although the changes in obstructive appendicitis are relatively rapid yet they take some hours. Lymph will often be found on the surface, and free fluid in the peritoneal cavity is a more common finding in my experience ...

Imaging of Acute Appendicitis in Adults and Children
256 pages
Imaging of Acute Appendicitis in Adults and Children

This book is a comprehensive account of imaging of acute appendicitis and other appendiceal diseases. Background information is first provided on clinical presentation, perforation and negative appendectomy rates, and treatment options.

McBurney's point, the story of appendicitis
168 pages
McBurney's point, the story of appendicitis


Appendicitis: New Insights for the Healthcare Professional: 2013 Edition, ScholarlyBrief
64 pages
Appendicitis: New Insights for the Healthcare Professional: 2013 Edition, ScholarlyBrief

In comparison with the group of participants who had appendicectomy for a normal appendix, the HRs were 0.98 (95% CI: 0.831.15) for mucosal and catarrhal appendicitis, 0.72 (95% CI: 0.64-0.82) for suppurative appendicitis, and 0.64 (95% CI: 0.50-0.80) for gangrenous appendicitis. Appendicectomy and early appendicitis were associated with increased pregnancy rates. Young women with early appendicitis had better pregnancy rates than those with advanced appendicitis.

Appendicitis - News


Combination Protocol Accurately Diagnoses Appendicitis in Kids
(HealthDay News) – A clinical pathway combining the Samuel's pediatric appendicitis score (PAS) and selective use of ultrasonography (US) has high sensitivity and specificity for diagnosing appendicitis in children, according to a study published

Shruti Haasan undergoes appendicitis surgery, advised bed rest
Shruti Haasan undergoes appendicitis surgery, advised bed rest Shruti called up her father, asking if she should fly back to Chennai or go to Mumbai but Kamal suggested she stays put and gets the appendicitis operated in Hyderabad itself. When contacted, her spokesperson from down south informed that her

Possible Appendicitis? Study Supports Diagnostic Ultrasound
Pediatric emergency departments can improve their diagnostic accuracy and expose fewer children to unnecessary radiation by adding selective ultrasonography to their diagnostic protocol for suspected appendicitis, according to a study published online 

Texas mom sues after insurance denies claim and daughter dies of - 12 News ...
A Texas nurse and mother has sued her insurance company after her 6-year-old daughter died of a brain injury when appendicitis surgery allegedly went wrong while the family was on vacation in the Dominican Republic in 2012. Marissett Tolentino alleges 

Appendicitis is nothing to poo-poo
I don't know if it was a comedy of errors, or a lack of definitive symptoms that cause this chain of events, but I am here to provide you with a bit of a PSA (public service announcement) on the signs and symptoms of appendicitis - just in case. First