The Rational Clinical Examination
David L. Simel, Drummond Rennie
Appendicitis, Child
David L. Simel
Make the Diagnosis: Appendicitis, Child
Topics Discussed:
abdominal pain, appendectomy, appendicitis, acute, child, criterion standard comparisons (diagnostic tests), diagnosis, diagnostic process, likelihood ratio, make the diagnosis, mantrels, pediatrics, prior probability
Excerpt:
"Every child will, at some point, experience an episode of abdominal
discomfort; most do not require medical attention. If the discomfort
has lasted less than 1 week and is not associated with abdominal
trauma, but is severe enough to prompt a visit to the emergency
department, overall about 10% of such children (age 3-18
years) have appendicitis (see Table 60-1).1..."
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