Document Detail


Diagnosis of acute appendicitis.
MedLine Citation:
PMID:  22349155     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Appendicitis is the most common abdominal emergency. While the clinical diagnosis may be straightforward in patients who present with classic signs and symptoms, atypical presentations may result in diagnostic confusion and delay in treatment. Abdominal pain is the primary presenting complaint of patients with acute appendicitis. Nausea, vomiting, and anorexia occur in varying degrees. Abdominal examination reveals localised tenderness and muscular rigidity after localisation of the pain to the right iliac fossa. Laboratory data upon presentation usually reveal an elevated leukocytosis with a left shift. Measurement of C-reactive protein is most likely to be elevated. The advances in imaginology trend to diminish the false positive or negative diagnosis. Radiographic image of faecal loading image in the caecum has a sensitivity of 97% and a negative predictive value that is 98%. In experienced hands, ultrasound may have a sensitivity of 90% and specificity higher than 90%. Helical CT has reported a sensitivity that may reach 95% and specificity higher than 95%. Despite all medical advances, the diagnosis of acute appendicitis continues to be a medical challenge.
Authors:
Andy Petroianu
Related Documents :
18256815 - Multiple malignant and benign lesions in the liver in a child with adrenocortical carci...
4692255 - The use of combined ultrasonic and isotope scanning in the diagnosis of amoebic liver d...
17598115 - Mesothelial cyst of the liver in a neonate.
10484895 - Combined hepatocellular and cystadenocarcinoma presenting as a giant cyst of the liver-...
7582575 - Endosonography of the pancreas: normal variation versus changes of early chronic pancre...
10726625 - Use of the cornier pipelle as the only means of presurgical histologic diagnosis in end...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-17
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  -     ISSN:  1743-9159     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier Ltd.
Affiliation:
Medical School of the Federal University of Minas Gerais, Department of Surgery, Avenida Afonso Pena, 1.626 - apto. 1.901, 30130-005 Belo Horizonte, MG, Brazil.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Endovascular brachytherapy and restenosis following lower limb angioplasty: Systematic review and me...
Next Document:  Magnetic resonance elastography methodology for the evaluation of tissue engineered construct growth...