Point-of-Care Ultrasonography for Appendicitis Uncovers Two Alternate Diagnoses.
نویسندگان
چکیده
We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate diagnoses. This article highlights a role for point-of-care ultrasound in the diagnoses of two alternate conditions that clinically mimic appendicitis: Meckel diverticulitis and acute ileocecitis. We offer a brief overview of terminology, relevant literature, and ultrasound scanning technique for the right-lower-quadrant point-of-care ultrasound evaluation.
منابع مشابه
Common Questions About the Evaluation of Acute Pelvic Pain.
Acute pelvic pain is defined as lower abdominal or pelvic pain of less than three months' duration. It is a common presentation in primary care. Evaluation can be challenging because of a broad differential diagnosis and because many associated signs and symptoms are nonspecific. The most common diagnoses in reproductive-aged women with acute pelvic pain are idiopathic pelvic pain, pelvic infla...
متن کاملAccuracy of ultrasonography in the diagnosis of acute appendicitis.
AIMS AND OBJECTIVES To assess the accuracy of ultrasonography in the diagnosis of acute appendicitis. METHODOLOGY A prospective randomized study was carried in the Dept. of Radiology and Imaging, Tribhuvan University, Teaching Hospital, Maharajgunj, Kathmandu, Nepal. A total of 120 patients, who were clinically diagnosed as acute appendicitis were subjected to ultrasonography of the abdomen. ...
متن کاملThe effect of point-of- care ultrasonography on emergency department length of stay and CT utilization in children with suspected appendicitis
Background The role of clinician-performed ultrasonography for suspected appendicitis is controversial. Published data conclude that ultrasonography has high specificity to rule in the diagnosis of appendicitis with variable sensitivity to rule it out. Newer data suggest that point-of-care ultrasonography (PoCUS) may have similar test characteristics. This is the first study to examine the effe...
متن کاملHOW TO APPROACH THE PATIENT SUSPECTED OF HAVING ACUTE APPENDICITIS, INTRODUCING NEW CRITERIA: (TWO OUT OF THREE)
ABSTRACT Background: Acute appendicitis is the most common cause of acute surgical abdomen. Inspite of the introduction of ultrasonography, computed tomography scanning and laparoscopy in the years 1987-1997 the difficulty in accurate diagnosis of acute appendicitis has remained the same. Our way of reaching a decision for operating in a patient suspected of having acute appendicitis (which wi...
متن کاملApplication of scoring systems with point-of-care ultrasonography for bedside diagnosis of appendicitis.
BACKGROUND Appendicitis is a common disease requiring surgery. Bedside ultrasound (BUS) is a core technique for emergency medicine (EM). The Alvarado score is a well-studied diagnostic tool for appendicitis. This study aimed to investigate the relationship between patients' symptoms, Alvarado score and ultrasound (US) findings, as performed by emergency physicians (EPs) and radiologists, of pat...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Pediatric emergency care
دوره 32 4 شماره
صفحات -
تاریخ انتشار 2016