ACUTE APPENDICITIS
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 ).
- Antibiotics –