Features

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

PAEDIATRIC APPENDICITS SCORE

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 ).