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Appendicitis and Lack of Fever

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4 papers 25 to 100 followers Does Lack of Fever Rule Out Appendicitis?
By Sean Fox Adult and Pediatric Emergency Medicine Physician, Associate Professor
Maciej Bagłaj, Jolanta Rysiakiewicz, Konrad Rysiakiewicz
AIM: Analysis of diagnostic and therapeutic problems in acute appendicitis in children below 3 years of age. MATERIAL AND METHODS: The analysis was based on medical data of 53 children under 3 years of age, treated in our department for acute appendicitis in the years 1988-2008. Among 53 children, 29 (53.7%) were admitted directly to the surgical department and 24 (45.3%) were transferred from the regional pediatric department. In the period of 1 month before admission to the surgical department 13 patients (24...
April 2012: Medycyna Wieku Rozwojowego
Olivier Monneuse, S Abdalla, F Pilleul, V Hervieu, L Gruner, E Tissot, X Barth
BACKGROUND: The clinical diagnosis of acute appendicitis in adults remains tricky, but radiological examinations are very helpful to determine the diagnosis even when the adult patient presents atypically. This study was designed to quantify the proportion of patients with a preoperative diagnosis of acute appendicitis that had isolated right lower quadrant pain without biological inflammatory signs and then to determine which imaging examination led to the determination of the diagnosis...
February 2010: World Journal of Surgery
Joshua M Colvin, Richard Bachur, Anupam Kharbanda
PURPOSE: We describe the clinical presentation of appendicitis in preadolescent children and differences in symptoms among age-stratified subgroups. METHODS: This is a retrospective analysis of a prospectively collected de-identified data set of patients 3 years or older and patients younger than 12 years presenting to a pediatric emergency department during a 21-month period with symptoms suspicious for appendicitis. The rates of appendicitis, perforation, negative appendectomy, as well as sensitivities, specificities, and positive likelihood ratios for historical and clinical variables associated with appendicitis were calculated for the entire cohort and for 3 age-stratified subgroups...
December 2007: Pediatric Emergency Care
Javed Alloo, Theodore Gerstle, Joel Shilyansky, Sigmund H Ein
Appendicitis is the most common surgical abdominal emergency in the pediatric population, but is rarely considered in children less than 3 years of age. The goal of this study was to identify the presenting symptoms and signs in this age group and examine their subsequent management and outcome. A 28-year experience of a single pediatric surgeon in academic practice was reviewed; 27 children less than 3 years old (mean 23 months) comprised 2.3% of all children with appendicitis in his series. The most common presenting symptoms were vomiting (27), fever (23), pain (21), anorexia (15), and diarrhea (11)...
January 2004: Pediatric Surgery International
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