CHFT Case of the Week 11 – Paediatric Appendicitis
CHFT Case of the Week 11 - Paediatric Appendicitis
This weeks case discusses children presenting with abdominal pain, specifically ?appendicitis, and how good various investigations are (or aren’t!) at ruling in / out appendicitis.
Correspondance: jack.long@cht.nhs.uk
Links if unable to click:
– GIRFT review – https://www.gettingitrightfirsttime.co.uk/wp-content/uploads/2022/06/20220607_Paediatric-general-surgery_Pathway-guide_Acute-abdominal-pain-and-appendicectomy.pdf
– Urine dipstick in appendicitis – https://academic.oup.com/bjs/article/111/Supplement_7/znae175.047/7726058
– Diagnostic accuracy of bloods in appendicitis – https://pmc.ncbi.nlm.nih.gov/articles/PMC9639107/#T2
– RCS US for appendicitis – https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2021.0326
– Alvarado score – https://www.mdcalc.com/calc/617/alvarado-score-acute-appendicitis
– Paediatric appendicitis score – https://www.mdcalc.com/calc/3926/pediatric-appendicitis-score-pas
– EMBeds – Paeds abdominal pain pathway (see paeds surgery section) – https://www.embeds.co.uk/paeds/
– RCEM Learning – https://www.rcemlearning.co.uk/foamed/abdominal-pain-in-children/
– Don’t forget the bubbles – https://dontforgetthebubbles.com/paediatric-appendicitis/
– For those interested in Ultrasound – https://www.youtube.com/watch?v=VO51vgSEXuE