Appendicitis Latest Topics

13/9/2026

Sun, 13 Sep 2026 12:16:31 +0000

[size=6]You are asked to assess a 12-year-old child with appendicitis. The appendix is 10mm in diameter on CT with no fecalith. There is a low-grade fever and the WBC = 13,000/uL. After 12 hours of IV ceftriaxone and metronidazole the pain has improved. The patient and their parents have expressed a strong desire to avoid surgical intervention. They confirm adequate access to follow up care. What of the following is the most appropriate management?

a IV antibiotics for 48 hours then discharge home on 7 days of PO cefdinir/metronidazole

b Discharge on PO cipro/metronidazole for 14 days

c IV antibiotics until afebrile and a normal WBC then discharge home with no further antibiotics

d Discharge on PO cefdinir/metronidazole for 7 days[/size]

8/3/2026

Sun, 08 Mar 2026 13:37:30 +0000

[size=6]A 6 year-old presented with 10-days of symptoms and perforated appendicitis with abscess. They underwent IR percutaneous drainage of abscess. Five days later, they are clinically improved with 20 mL/d brownish fluid out of the drain. A drain study was obtained. What is the best next step in this patient’s management?

a Clamp drain

b Continue drain to gravity

c Place a second drain

d Diagnostic laparoscopy

e Remove drain[/size]

Open appendectomy

Fri, 22 Oct 2021 08:01:48 +0000

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antibiotics redosing in management of acute appendicitis

Sun, 09 Feb 2025 12:19:52 +0000

management of incidental appendiceal neuroendocrine tumors in children

Sun, 29 Dec 2024 12:34:36 +0000

Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient

Tue, 30 Mar 2021 15:38:41 +0000

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Dealing with non healthy appendicular stump

Mon, 11 Nov 2024 07:21:28 +0000

interval appendectomy

Sun, 15 Aug 2021 04:00:34 +0000

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Cbclips #1

Mon, 20 Dec 2021 22:01:55 +0000

A 4-year old boy presents with 6 days of abdominal pain and vomiting. On exam, he appears ill with a heart rate of 130 and temp of 39.3 C. His abdomen is distended and diffusely tender. Abdominal series shown (look carefully!). Diagnosis?

1/9/2024

Sun, 01 Sep 2024 11:14:20 +0000

[size=20px]A 12-year-old girl presents with acute appendicitis. She undergoes an uneventful laparoscopic appendectomy. Pathologic review reveals a 1 cm carcinoid/neuroendocrine tumor at the base of the appendix with perineural invasion but no evidence of lymphatic or vascular invasion. One lymph node was included in the specimen and was negative for tumor. What is the best next step in the management of this patient?

A Octreotide scan

B Observation alone

C Right Hemicolectomy

D Ileocecectomy

E MRI of the abdomen[/size]

Importance of appendix

Wed, 28 Aug 2024 07:25:39 +0000

The three presentations of appendicitis depending on its location

Fri, 16 Aug 2024 10:27:01 +0000

Mc Burney’s point vs Lanz point

Thu, 15 Aug 2024 19:26:48 +0000

19/5/2024

Sun, 19 May 2024 12:46:00 +0000

[size=20px]A fourteen-year-old girl presents to the Emergency Room for evaluation for appendicitis. You tell her parents that you would like the child to have an ultrasound to aid in the diagnosis, but her father states that he would prefer that you save time and proceed straight to a CT scan. What information would you pass along to parents regarding the risks of cancer associated with the use of CT in children?

A There is an increased risk for developing leukemia.

B Cancers associated with CT scans occur late in life.

C There is increased risk for developing abdominopelvic tumors.

D There is no cancer risk associated with CT scans in children. [/size]

Sils appendectomy

Thu, 18 Jan 2024 19:41:22 +0000

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Laparoscopic management of perforated appendicitis

Sun, 08 Aug 2021 15:42:11 +0000

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cbclips Episode 35

Tue, 01 Nov 2022 20:22:06 +0000

a pediatrician consults you on a 10 year old boy hospitalized for 5 days for abdominal pain and fever. Exam shows a sick child with diffuse peritonitis. Abdominal films are shown. What is the most likely diagnosis and how would you manage him?

Vacuum wound dressing post single incision Lap appendectomy

Mon, 04 Sep 2023 18:14:47 +0000

Regarding post op management of appendicitis

Mon, 04 Sep 2023 18:11:41 +0000

Avoid unnecessary CT in diagnosis of appendicitis

Sun, 30 Jul 2023 15:52:32 +0000

Complicated appendicitis criteria

Sun, 28 May 2023 12:34:40 +0000

30/5/2021

Sun, 30 May 2021 11:08:20 +0000

[size=20px]A 10 year old girl presents with acute onset of right sided abdominal pain. A normal appendix is found during diagnostic laparoscopy, and the ovaries and terminal ileum appear normal. Which of the following should also be examined before finishing the operation?

A spleen

B transverse colon

C omentum

D kidney

E rectum

[/size]

Perforated Appendicitis in a Five Months Old Baby

Sun, 19 Mar 2023 15:17:08 +0000

[center]by prof Amin El-Gohary

appendicitis 2023.pdf

[/center]

Nonoperative appendicitis management

Mon, 06 Feb 2023 06:03:00 +0000

Single incision laparoscopic appendectomy

Fri, 23 Jul 2021 13:16:35 +0000

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