42. Acute Appendicitis

  1. Jesse M. Pines1,2,
  2. Christopher R. Carpenter3,4,
  3. Ali S. Raja5 and
  4. Jeremiah D. Schuur5

Published Online: 9 NOV 2012

DOI: 10.1002/9781118482117.ch42

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

How to Cite

Pines, J. M., Carpenter, C. R., Raja, A. S. and Schuur, J. D. (2012) Acute Appendicitis, in Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118482117.ch42

Author Information

  1. 1

    Center for Healthcare Quality, George Washington University, Washington, DC, USA

  2. 2

    Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  3. 3

    Evidence Based Medicine, Washington University, St. Louis, MO, USA

  4. 4

    Division of Emergency Medicine, Barnes Jewish Hospital, Washington University, St. Louis, MO, USA

  5. 5

    Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 9 NOV 2012
  2. Published Print: 7 NOV 2012

ISBN Information

Print ISBN: 9780470657836

Online ISBN: 9781118482117

SEARCH

Keywords:

  • acute appendicitis in ED, presenting with acute abdominal pain;
  • acute appendicitis diagnosis, clinically challenging with nausea/vomiting;
  • WBC count, and effectiveness in ruling in/out acute appendicitis;
  • abdominal CT as more sensitive than US, for appendicitis in nonpregnant adults;
  • diagnosis of appendicitis, and challenges with a missed diagnosis;
  • ultrasound or clinical suspicion, as best in diagnosis of acute appendicitis;
  • pooled likelihood ratios of elevated WBC, and acute appendicitis diagnosis;
  • clinical prediction rules in acute appendicitis, and the Alvarado Score;
  • diagnostic imaging modality, which being best in acute appendicitis;
  • CT diagnostic accuracy, positive CT or US from safety perspective

Summary

This chapter contains sections titled:

  • Background

  • Clinical question

  • Comment

  • References