Fenrijora A 7-year-old boy went to emergency department with severe abdominal pain of 20 hours, located in the right iliac fossa. It selected five articles 3 of which were also included in the review under consideration. Not Allowed You must be registered to perform that action. Laparoscopic appendectomy in children with Enterobius vermicularis. Any use of these manuscripts must recognize this authorship in an explicit manner.
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Does This Child Have Appendicitis? David G. Bundy; Julie S. Byerley; E. Allen Liles; Eliana M. Perrin; Jessica Katznelson. Context Evaluation of abdominal pain in children can be difficult. Rapid, accurate diagnosis of appendicitis in children reduces the morbidity of this common cause of pediatric abdominal pain. Clinical evaluation may help identify 1 which children with abdominal pain and a likely diagnosis of appendicitis should undergo immediate surgical consultation for potential appendectomy and 2 which children with equivocal presentations of appendicitis should undergo further diagnostic evaluation.
Objective To systematically assess the precision and accuracy of symptoms, signs, and basic laboratory test results for evaluating children with possible appendicitis. Study Selection Studies were included if they 1 provided primary data on children aged 18 years or younger in whom the diagnosis of appendicitis was considered; 2 presented medical history data, physical examination findings, or basic laboratory data; and 3 confirmed or excluded appendicitis by surgical pathologic findings, clinical observation, or follow-up.
Of full-text articles examined, 42 met inclusion criteria. Data Extraction Twenty-five of 42 studies were assigned a quality level of 3 or better. Data from these studies were independently extracted by 2 reviewers. Results In children with abdominal pain, fever was the single most useful sign associated with appendicitis; a fever increases the likelihood of appendicitis likelihood ratio [LR], 3.
In select groups of children, in whom the diagnosis of appendicitis is suspected and evaluation undertaken, rebound tenderness triples the odds of appendicitis summary LR, 3. Midabdominal pain migrating to the right lower quadrant LR range, 1. Symptoms and signs are most useful in combination, particularly for identifying children who do not require further evaluation or intervention. Conclusions Although the clinical examination does not establish a diagnosis of appendicitis with certainty, it is useful in determining which children with abdominal pain warrant immediate surgical evaluation for consideration of appendectomy and which children may warrant further diagnostic evaluation.
More child-specific, age-stratified data are needed to improve the utility of the clinical examination for diagnosing appendicitis in children.
La apendicitis en niños: síntomas, causas y más
Gacage You will receive an email to complete the process. The accurate diagnosis of acute appendicitis in preschool-age children is still a clinical challenge. On examination, the child had general status affectation. Key words appendicitis, acute, preschool, children. Acute appendicitis as a complication of helminthic infection among some Egyptian patients. Enterobius vermicularis causing symptoms of appendicitis in Nepal.
Síntomas de la apendicitis en niños
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10 SÍNTOMAS DE LA APENDICITIS – Adultos y niños