Features

  • Constant Peri umbilical pain changing to Right Lower Quadrant pain
  • Localised abdominal tenderness/ Rovsing (rebound tenderness)

PAEDIATRIC APPENDICITS SCORE

Capture

 

 

Scores> 8 ( could suggest appendicitis)

Investigations

  • Complete blood count/ urine analysis
  • Amylase/ Liver enzymes
  • C reactive Protein
  • Amyloid A protein
  • Abdomen X-ray
  • Ultrasound

Treatment

  • Fluid resuscitation (Airway/ breathing/ Circulation)
    • Antibiotics –
      Unperforated cases – Cefoxitin
      Perforation- Ampicillin+Gentamycin+Clindamycin/Metronidazole)
      Or
      Ceftriaxone/Metronidazole .
      Appendicectomy (semi electively ).

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