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Gastric ultrasound for preoperative assessment

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jueves, 15 de junio de 2017

Appendicitis Mimics

emDocs - June 14, 2017 - Author: Chase C - Edited by: Koyfman A & Long B 
  • Abdominal pain is a common and high-risk ED complaint. Appendicitis and its mimics are often indistinguishable in their presentation.
  • Appendicitis mimics requiring consideration include: ectopic pregnancy, ovarian/testicular torsion, pelvic inflammatory disease/TOA, terminal ileitis, cecal diverticulitis, cecal volvulus, gastroduodenal perforation, intussusception, Crohn’s Disease, ureterolithiasis, cholecystitis, etc.
  • Every reproductive-aged female should have a pregnancy test, and males should have testicular exam when presenting with lower abdominal pain.
  • Epiploic appendagitis, omental infarction, and mesenteric adenitis seen on CT are typically benign, self-limited disease processes.
  • Early surgical consultation required if suspecting: ruptured ectopic, testicular/ovarian torsion, ruptured TOA, cecal volvulus, gastroduodenal perforation, adult intussusception, cholecystitis, or toxic megacolon."