dr Alpana Prasad
Pediatric Surgeon

About Author

Acute appendicitis is the most common abdominal surgical emergency in children. Despite being a relatively common condition, its diagnosis can prove to be challenging.

Classical clinical presentation of acute appendicitis includes fever, anorexia, nausea, guarding, and migration of pain from umbilical region to the right lower quadrant. This is seen in only 40-50% of children with appendicitis. These signs and symptoms have even lesser predictive utility in younger children. Such children are more likely to present with a complicated disease. These clinical features cannot differentiate between early appendicitis and other non-surgical causes of abdominal pain such as gastroenteritis and viral syndromes.

Best discriminators for acute appendicitis are clinical and ultrasound features. Four best diagnostic factors are - continuous abdominal pain, tenderness on RLQ, rebound tenderness and positive ultrasound



Posted On: 30/04/2018

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