Appendicitis: Diagnostic Procedures

Question 1

Diagnostic Procedures

Answer 1

1. WBC count
2. Pregnancy Test
3. Urinalysis
4. UTZ
5. CT Scan
6. Neuro-Spec Imaging

Question 2

WBC count: what to evaluate

Answer 2

1. Leukocytosis: above 10,000/mm³
2. Perforation: if WBC above 20,000/mm³
3. Elevated neutrophils

Question 3

Why pregnancy test?

Answer 3

To R/O ectopic pregnancy

Question 4

Why urinalysis?

Answer 4

To R/O UTI

Question 5

Reveals enlarged appendix

Answer 5

UTZ

Question 6

If symptoms are recurrent or prolonged
May reveal presence of fecalith

Answer 6

CT Scan

Question 7

Uses a technetium antibody, anti-CD 15 monoclomal antibody that selectively binds to neutrophils at the injection site

Use gamma camera
Diagnosis within 1hr

Answer 7

Neuro-Spec Imaging