Tuesday, 8 May 2018

Improving Appendicitis Care for Pediatric Patients

Appendicitis is the most frequent surgical emergency in pediatrics and antibiotic therapy is an important aspect of the treatment of ruptured appendicitis. The treatment for appendicitis is appendectomy which had a 10-20% false-positive rate, but the widespread use of imaging studies has reduced this rate.
Diagnostic Imaging for acute appendicitis in children include Low clinical likelihood of appendicitis, Incomplete or equivocal findings for appendicitis, High Clinical likelihood or appendicitis. Open appendectomy was the only standard treatment for appendicitis for over a century. Some anatomic features of the appendix plays a role in the incidence and presentation of appendicitis throughout childhood.
Conservative Management begins with a trial of medical therapy and may be appropriate for perforated appendicitis with interval appendectomy. Complications of appendicitis includes Perforation, Sepsis, Shock, Postoperative adhesions, Infertility, Wound dehiscence, Wound Infection, Bowel Obstruction.
A new Pediatric Appendicitis Risk Calculator had been developed by researchers to aid in the diagnosis of appendicitis. This method enabled the clinicians to provide tailored medical and surgical guidance to a patient. Misdiagnosis can be reduced by the increased use of CT scanning or ultrasonography in the emergent setting and helps to confirm the diagnosis of appendiceal mass and also guide drainage interventions and is the most common ways clinicians diagnose appendicitis.
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