Appendicitis Flashcards
1
Q
What is the most common cause of abdominal pain in childhood?
A
Appendicitis
Rare in those <3 years old
2
Q
What are the causes of childhood appendicitis?
A
faecolith (can be seen on AXR)
perforation
3
Q
What are the clinical features of appendicitis?
A
Central abdominal pain radiating to the RIF
Low grade pyrexia
Vomiting
If perforated: generalised guarding
4
Q
How to investigate for appendicitis?
A
If female (under 18 are all paeds) then do pregnancy test!
Urine dip= + for leukocytes and nitrites
5
Q
How to manage appendicitis?
A
Immediate admission, NBM, IV fluids, Analgesia
Appendectomy!