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Current Issues in the Diagnostics and Treatment of Acute Appendicitis最新文献

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Diagnostic Scores in Acute Appendicitis 急性阑尾炎的诊断评分
Current Issues in the Diagnostics and Treatment of Acute Appendicitis Pub Date : 2018-06-27 DOI: 10.5772/INTECHOPEN.77230
A. Alvarado
{"title":"Diagnostic Scores in Acute Appendicitis","authors":"A. Alvarado","doi":"10.5772/INTECHOPEN.77230","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77230","url":null,"abstract":"Diagnostic scores should be part of the initial evaluation of patients suspected of acute appendicitis. This approach could be very helpful in order to make an early diagnosis and to stratify the cases for observation, further investigation, or surgical intervention.","PeriodicalId":188224,"journal":{"name":"Current Issues in the Diagnostics and Treatment of Acute Appendicitis","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121068541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 58
Clinical Approach in the Diagnosis of Acute Appendicitis 急性阑尾炎的临床诊断
Current Issues in the Diagnostics and Treatment of Acute Appendicitis Pub Date : 2018-06-27 DOI: 10.5772/INTECHOPEN.75530
A. Alvarado
{"title":"Clinical Approach in the Diagnosis of Acute Appendicitis","authors":"A. Alvarado","doi":"10.5772/INTECHOPEN.75530","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.75530","url":null,"abstract":"Abdominal pain is the most common reason for consultation in the emergency depart- ment, and most of the times, its cause is an episode of acute appendicitis. However, the misdiagnosis rate of acute appendicitis is high due to the unusual presentation of the symptoms. Therefore, the clinician has to be very alert in order to establish a correct diagnosis. an egg-sized mass located slightly lower than the inguinal ligament that showed signs of inflammation and was painful on direct compression. There were no complaints of or Laboratory tests revealed a slight elevation of CRP (0.49 mg/dL). Abdominal X-ray showed no gas-fluid levels and no signs of small dilatation. Pelvic CT scan revealed a small round mass beside and with levels and small amount of in The was","PeriodicalId":188224,"journal":{"name":"Current Issues in the Diagnostics and Treatment of Acute Appendicitis","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130874778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Imaging in Suspected Appendicitis 疑似阑尾炎的影像学检查
Current Issues in the Diagnostics and Treatment of Acute Appendicitis Pub Date : 2018-06-27 DOI: 10.5772/INTECHOPEN.75035
J. A. Romero, Fernando Meléndez Negrette
{"title":"Imaging in Suspected Appendicitis","authors":"J. A. Romero, Fernando Meléndez Negrette","doi":"10.5772/INTECHOPEN.75035","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.75035","url":null,"abstract":"Appendicitis is the most suspected diagnosis in patients who consult for abdominal pain, and appendicitis is the most common cause which requires urgent abdominal surgery or intervention. Classically, the diagnosis has been made with the patient’s medical his- tory, physical examination, and laboratory findings; however, its preoperative diagnosis is increasingly reliant on imaging. The negative appendectomy rates decreased after the introduction of the use of imaging modalities. The diagnosis of appendicitis should be made early to avoid complications such as perforation. The objective of this chapter is to describe briefly the most important findings in each available image modality and the impact they have on the management and list the potential mimics of appendicitis.","PeriodicalId":188224,"journal":{"name":"Current Issues in the Diagnostics and Treatment of Acute Appendicitis","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122582719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Pediatric Appendicitis 小儿阑尾炎的处理
Current Issues in the Diagnostics and Treatment of Acute Appendicitis Pub Date : 2018-06-27 DOI: 10.5772/INTECHOPEN.72793
V. Erikçi
{"title":"Management of Pediatric Appendicitis","authors":"V. Erikçi","doi":"10.5772/INTECHOPEN.72793","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.72793","url":null,"abstract":"Appendicitis is the most common surgical diagnosis for children who present with abdominal pain to the emergency department. However, there are nonspecific examina tion findings and variable historical features during its presentation. Diagnosis of appen - dicitis in the pediatric patient may be challenging for the clinician dealing with these children. It is important to have a high index of suspicion and taking a detailed history and physical examination. In diagnosis of appendicitis, adjunctive studies that may be useful are the white blood cell count, C-reactive protein, urinalysis, ultrasonography and computerized tomography when necessary. When appendicitis is suspected, patients should receive immediate surgical consultation, as well as volume replacement and anti- biotics if indicated. The most accurate diagnostic tool is perhaps the serial examinations by the same examiner. With this timely approach, it will be possible to prevent the signifi - cant morbidity that is associated with delayed diagnoses in younger patients.","PeriodicalId":188224,"journal":{"name":"Current Issues in the Diagnostics and Treatment of Acute Appendicitis","volume":"153 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133433534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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