Appendicitis in children Flashcards

1
Q

Causes of appendicitis in children

A

Most common cause of abdo pain over 3y/o

Faecolith (hard stool stone) most common in pre-school children -seen on Axr

perforation more common

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2
Q

Signs and Sx of appendicitis in children

A

Difficult because signs are not always the classic

Umbilical pain migrating to RIL. -worse with movement
Constipation
Fever
Minimal vomiting but nausea
Complete loss of appetite
Withdrawn/quiet/tired
tender abdo 
Obtuator/psoas signs
Rosving sign (pressing LIL pain in RIL)

children also perfore faster -peritonitis

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3
Q

Ix of appendicitis in children

A
FBC, Pregnancy test (age/gender depending)
CRP, 
Urine dipstick
Clinical observation
AXR +/- USS, CTAP, MRI
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4
Q

Management of appendicitis in children

A
GAME 
G&S
Iv Abx
MRSA screen
NO eating and drinking (NBM)

appendissectomy

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