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Pediatric emergency care · Mar 2017
Current Approach to the Diagnosis and Emergency Department Management of Appendicitis in Children.
- Susan C Lipsett and Richard G Bachur.
- Staff Physician (Lipsett) and Chief (Bachur), Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
- Pediatr Emerg Care. 2017 Mar 1; 33 (3): 198-203.
AbstractConcerns about radiation exposure have led to a decrease in the use of computed tomography in suspected appendicitis, with increased reliance on ultrasound. Children with suspected appendicitis should be risk stratified using a combination of clinical signs and symptoms, white blood cell count, and ultrasound in order to guide further evaluation and management. Magnetic resonance imaging is a promising imaging modality but remains costly. Ongoing research is evaluating the role of nonoperative management in children with confirmed appendicitis.
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