Clinical policy: Critical issues in the evaluation and management of emergency department patients with suspected appendicitis

Annals of Emergency Medicine
John M HowellAmerican College of Emergency Physicians

Abstract

This clinical policy from the American College of Emergency Physicians is an update of a 2000 clinical policy on the evaluation and management of patients presenting with nontraumatic acute abdominal pain.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1)Can clinical findings be used to guide decision making in the risk stratification of patients with possible appendicitis? (2) In adult patients with suspected acute appendicitis who are undergoing a computed tomography scan, what is the role of contrast? (3) In children with suspected acute appendicitis who undergo diagnostic imaging, what are the roles of computed tomography and ultrasound in diagnosing acute appendicitis?Evidence was graded and recommendations were given based on the strength of the available data in the medical literature.

References

Jul 1, 1991·Radiology·E J BalthazarB A Birnbaum
May 1, 1986·Annals of Emergency Medicine·A Alvarado
Mar 1, 1993·Annals of Emergency Medicine·D L SchrigerC S Greene
Apr 1, 1993·AJR. American Journal of Roentgenology·A J MaloneB F Melliere
Feb 1, 1997·AJR. American Journal of Roentgenology·M J LaneR B Jeffrey
Jun 1, 1999·São Paulo Medical Journal = Revista Paulista De Medicina·G D'lppolitoJ Szejnfeld
Jun 28, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·C C YaoC C Yang
Oct 24, 2000·AJR. American Journal of Roentgenology·M Baldisserotto, E Marchiori
Jan 3, 2001·AJR. American Journal of Roentgenology·M E MullinsR A Novelline
May 30, 2002·AJR. American Journal of Roentgenology·Steven S RamanHenry Cryer
May 30, 2002·Radiology·Sylvie KaiserHakan K Jorulf
Jul 18, 2002·The Journal of Surgical Research·Michael B UjikiRaymond J Joehl
Oct 2, 2002·Radiology·Sandra E BendeckR Brooke Jeffrey
Nov 29, 2002·Pediatrics·Barbara M Garcia PeñaKenneth D Mandl
Jan 13, 2004·The British Journal of Surgery·R E B Andersson
Apr 6, 2004·Journal of Pediatric Surgery·W T van den BroekD J Gouma
Aug 4, 2004·Emergency Radiology·Sinan CakirerMujdat Bankaoglu
Sep 24, 2004·The British Journal of Surgery·K H in't HofG Kazemier
Dec 1, 2004·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·M Y P ChanY Y Ng
Jan 6, 2005·Pediatric Radiology·Robert AcostaHarold S Goldman
Apr 20, 2005·The Journal of Emergency Medicine·Cynthia C Hoecker, Glenn F Billman
Aug 10, 2005·World Journal of Surgery·Nikolaos E TzanakisNikolaos I Nikiteas
Sep 6, 2005·Pediatrics·Anupam B KharbandaRichard G Bachur
Dec 20, 2005·Emergency Radiology·Sandra MunWilliam J Mileski
Mar 14, 2007·Pediatric Emergency Care·Linda T WangDaniel P Ryan
Jun 5, 2007·The American Journal of Emergency Medicine·Robert McKay, Jessica Shepherd

❮ Previous
Next ❯

Citations

Aug 10, 2011·Pediatric Radiology·Cameron H Williams, Donald P Frush
Feb 22, 2012·Pediatric Emergency Care·Wendy C MatsunoLoren G Yamamoto
Apr 23, 2013·Pediatric Emergency Care·Shannon WaiAderonke Adekunle-Ojo
Dec 30, 2011·BMC Medicine·Robert OhleBorislav D Dimitrov
Nov 1, 2011·International Journal of Emergency Medicine·Betzalel ReichScott G Weiner
Apr 20, 2014·World Journal of Gastroenterology : WJG·Sinan HatipogluRuslan Abdullayev
May 6, 2014·The Journal of Surgical Research·Eleanor K MathewsRobert T Russell
Mar 25, 2016·The Indian Journal of Surgery·Mohit Kumar JoshiSunil Kumar
Nov 19, 2015·The American Journal of Emergency Medicine·Mohamed ZouariRiadh Mhiri
Oct 19, 2013·Journal of the American College of Radiology : JACR·Paul R SierzenskiDavid A Schauer
Jul 31, 2013·The American Journal of Emergency Medicine·David S HuckinsMichael Wandell
Apr 30, 2013·Annals of Emergency Medicine·Andrew C MeltzerAngela M Mills
Jul 17, 2015·Journal of Clinical Ultrasound : JCU·Joseph R PareKristin Carmody
Jul 31, 2012·Annals of Emergency Medicine·Richard G BachurUNKNOWN Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics
Jan 6, 2016·The Indian Journal of Surgery·Jyotindu DebnathShiv Pankaj Khanna
Feb 7, 2012·CA: a Cancer Journal for Clinicians·Martha S LinetAmy Berrington de Gonzalez
Dec 14, 2011·Emergency Medicine Australasia : EMA·Michael M DinhKendall J Bein
Aug 2, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Genevieve SantillanesRoger J Lewis
Mar 27, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Suzanne SchuhAndrea S Doria
Oct 7, 2015·Journal of Paediatrics and Child Health·Simon Craig, Sarah Dalton
May 3, 2016·The American Journal of Emergency Medicine·David S HuckinsUNKNOWN APAB Study Group
May 3, 2016·Emergency Medicine Clinics of North America·Patrick Robinson, John C Perkins
Feb 22, 2012·International Journal of Surgery·Andy Petroianu
Feb 11, 2015·Journal of the American College of Surgeons·Jay PershadEunice Y Huang
May 3, 2016·Emergency Medicine Clinics of North America·David J CarlbergJeffrey S Dubin
May 3, 2016·Emergency Medicine Clinics of North America·Jeremiah Smith, Sean M Fox
Jun 28, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Edward R MelnickR Andrew Taylor
Jul 6, 2013·Cirugía española·José Manuel Aranda-NarváezJulio Santoyo-Santoyo
Oct 18, 2016·The American Journal of Emergency Medicine·Holly DepinetUNKNOWN APAB Study Group
Sep 10, 2016·The American Journal of Emergency Medicine·Concepción MíguezRafael Marañon
Sep 11, 2016·The American Journal of Emergency Medicine·Kimberly B HornerJennifer R Marin
Sep 11, 2016·Emergency Medicine Journal : EMJ·Juan González Del CastilloUNKNOWN representing INFURG-SEMES group
Jan 1, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Katherine FullertonMarlene Melzer-Lange
Feb 19, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Roshanak BenabbasRichard Sinert
Jan 19, 2017·The Journal of Trauma and Acute Care Surgery·Tyler J LoftusJaneen R Jordan
Jun 4, 2018·Emergency Medicine Journal : EMJ·Annemieke E BoendermakerEwoud Ter Avest
Aug 18, 2017·Pediatric Emergency Care·Jahan FahimiRalph C Wang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

JAMA : the Journal of the American Medical Association
David G BundyHenry E Rice
The New England Journal of Medicine
D Brenner, Eric J Hall
Annals of the Royal College of Surgeons of England
Anshuman SenguptaSimon Paterson-Brown
© 2021 Meta ULC. All rights reserved