42. Acute Appendicitis

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

Published Online: 9 NOV 2012

DOI: 10.1002/9781118482117.ch42

Book Title

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

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

Additional Information

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

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CHAPTER TOOLS

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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

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