Appendicitis

Question 1

MCC of adult appendicitis?

Answer 1

Abdominal Sx fuck up

Question 2

Study of choice for appendicitis?

Answer 2

CT IV Contrast

W/O contrast is fine if pt cannot tolerate it (renal insuff, Metformin)

Question 3

Youre more like to get appendicitis if <_____yo

Answer 3

30

Question 4

Trmnt for Perforated appendicitis with abscess ≤ 3cm? >3cm?

Answer 4

• ABX 1hr prior to Sx
• Small (≤ 3cm) abscess -> Appendectomy ASAP
• Large (>3cm) abscess -> IV ABX & Drainage

Question 5

Trmnt for Non-perforated appendicitis

Answer 5

Cefazolin (Ancef) + Metronidazole (Flagyl)

PCN or Cephalosporin Allx? -> Clindamycin + Fluoroquinolone or gentamicin, or aztreonam (Azactam)

Question 6

Study of choice for child with sussy appendicitis?

Answer 6

US

if inconclusive -> CAT Scan or serial exams

Question 7

Is open or laparoscopic Sx approach preferred for kids?

Answer 7

Laparoscopic

Question 8

Pediatric appendicitis score

Answer 8