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
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 -worse with movement Constipation Fever Minimal vomiting but nausea Complete loss of appetite Withdrawn/quiet/tired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
3
Q
Ix of appendicitis in children
A
FBC, Pregnancy test (age/gender depending) CRP, Urine dipstick Clinical observation AXR +/- USS, CTAP, MRI
4
Q
Management of appendicitis in children
A
GAME G&S Iv Abx MRSA screen NO eating and drinking (NBM)
appendissectomy