Acute Appendicitis in Pediatric Patients: An Evidence-Based Review | Digest
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Acute Appendicitis in Pediatric Patients: An Evidence-Based Review

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Points and Pearls Excerpt

  • Studies in adults with appendicitis show that abdominal pain almost always precedes vomiting. This typical sequence is less common in preschool-aged children; they can present with vomiting that precedes abdominal pain.
  • Fever is the most suggestive sign of appendicitis in patients with undifferentiated abdominal pain. Rovsing sign is the examination finding that is most suggestive of acute appendicitis. Other signs include cough/hop pain and right iliac fossa tenderness.
  • Basilar pneumonia should be considered for all children presenting with abdominal pain.
  • Consider ordering a pelvic ultrasound for girls of childbearing age, as pelvic pathology can be confused with appendicitis.

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Publication Information
Authors

Callie Becker, MD; Anupam Kharbanda, MD, MS

Peer Reviewed By

Ran D. Goldman, MD; Kristy Williamson, MD

Publication Date

September 2, 2019

CME Expiration Date

October 2, 2022

Pub Med ID: 31461613

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