Radiologic evaluation of acute appendicitis in the busy community hospital

2001 ◽  
Vol 8 (5) ◽  
pp. 257-261
Author(s):  
J. C. Cole ◽  
M. L. Nipper
1999 ◽  
Vol 40 (2) ◽  
pp. 275 ◽  
Author(s):  
Jeong Min Lee ◽  
Mi Suk Lee ◽  
Hyeun Young Han ◽  
Young Gun Yoon ◽  
Seong Hee Ym

PEDIATRICS ◽  
1975 ◽  
Vol 56 (6) ◽  
pp. 1075-1078
Author(s):  
Steven P. Serlin ◽  
Mary Ellen Rimsza ◽  
John H. Gay

Rheumatic pneumonia is a well-described, poorly understood, rare manifestation of rheumatic fever that is generally fatal. Until 1958, when Brown and his colleagues presented their comprehensive discussion, pediatric journals provided only five references. Since then, only one article has appeared in the pediatric literature. As illustrated by the following case report, pediatricians need to be aware of rheumatic pnuemonia in order to determine optimal therapy and management. CASE REPORT A.M., a 13-year-old Mexican-American boy, was in apparent good health until he developed fleeting arthralgia, abdominal pain, and low-grade fever. The day following the onset of symptoms acute appendicitis was suspected, and a laparotomy was performed at a community hospital.


1996 ◽  
Vol 3 (5) ◽  
pp. 438-441 ◽  
Author(s):  
John Sabra ◽  
Michael Roh ◽  
Ximena Páez ◽  
John Cronan

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Frieda Hulka ◽  
Bryn Morris ◽  
Paige Elliott ◽  
Bogna Targonska

Abstract Background The Pediatric Appendicitis Score (PAS) is a validated scoring system assessing children with abdominal pain. Prior to 2016, children with abdominal pain in our community hospital were evaluated primarily using CT scans. A protocol using PAS and ultrasound (US) as the primary radiologic modality was adopted in 2016 for evaluating children with abdominal pain. The protocol consisted of three tiers with low PAS requiring no radiologic evaluation; moderate PAS requiring US and high PAS requiring initial surgical consultation. Retrospective chart review of children presenting with clinically suspected appendicitis was performed from January 2015 through December 2017, representing 1 year before and 2 years after implementation of PAS protocol. PAS scoring was assigned retrospectively to patients not scored in the emergency physician’s note, and statistical analysis of the patient cohorts was performed using SPSS, version 17. This study was approved by the University of Nevada Institutional Review Board. Results Application of PAS scoring system increased use of US as the primary radiologic test from 59% pre-protocol to 91% post protocol and decreased use of CT scans from 41 to 8% (p < .05). Physician adherence to protocol improved from 59 to 71%, increasing further to 81% in the 2nd year post-protocol (p < .05). The highest rate of non-compliance was noted when providers ordered an US in patients with a low PAS, followed by ordering any radiologic tests in patients with a high PAS. Conclusion Implementation of PAS-based protocol altered clinician behavior in a community hospital when evaluating children with clinically suspected appendicitis. Improved adherence to the protocol over time with significant decrease of CT scans ordered thereby reducing radiation exposure in the pediatric population. Future improvements will be aimed at decreasing radiologic testing in patients with a low PAS and involving surgeons earlier with patients who have a high PAS as clinical acceptance to the protocol matures.


1999 ◽  
Vol 34 (4) ◽  
pp. 378-380 ◽  
Author(s):  
Huh ◽  
S-M Hong ◽  
Kim ◽  
B-S Kim ◽  
K-H Lee ◽  
...  

JAMA ◽  
1965 ◽  
Vol 194 (10) ◽  
pp. 1097-1099
Author(s):  
D. Dralle
Keyword(s):  

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