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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Tuesday, December 15, 2020

Appendicitis

emDOCs Podcast Episode 18 - December 15, 2020 - By  Brit Long and Manpreet Singh

  • "For every 100 return visits to the ED for abdominal pain, one-third of them will be due to diagnostic error, and 2 will be for missed appendicitis. Once appendicitis begins, given time, it invariably leads to perforation which can be complicated by peritonitis or sepsis.
  • Lowering the rate of missed appendicitis in the ED can be accomplished through improving our awareness of cognitive biases that affect our medical decision making, being mindful of the populations especially at risk for this missed diagnosis, and utilizing all labs and imaging at our disposal when suspicion for appendicitis is high...
Pearls
  • #1: Utilize prediction scoring tools: AIR score for high risk patients, Alvarado score for dischargeable patients.
  • #2: Don’t be afraid to utilize CT imaging for intermediate risk patients, including pregnant women and children.
  • #3: Train yourself to consider appendicitis in “outlier” populations: children, pregnant women, older adults, and black patients."