9: Peds Acute Abdominal Pain Flashcards
1
Q
What would these labs show in appendicitis?
- CBC with diff
- UA
- CRP
- Abd U/S
A
- CBC = neutrophils >75%
- UA = pyuria (possibly)
- CRP = elevated (if greater than 12 hours)
- U/S = thickened, noncompressable mass
2
Q
Where is maximal pain in appendicitis?
A
McBurney’s Point
3
Q
Why would it be concerning in a child with suspected appendicitis if his pain stopped?
A
Indicates perforation
4
Q
What is the gold standard for diagnosis in appendicitis?
A
Abd U/S but CT has highest accuracy
5
Q
How long from acute onset of pain to rupture of appendix?
A
36 hours
6
Q
Acute inflammation that follows obstruction of lumen by a fecalith, lymphoid tissue, tumor, etc.
A
Appendicitis
7
Q
When would the CRP be elevated in appendicitis?
A
After 12 hours
8
Q
When does vomiting usually occur in appendicitis?
A
After periumbilical pain.
9
Q
T/F Older children have a higher risk of perforation in appendicitis.
A
False. Younger children do.
