Wednesday, November 27, 2013

Sonography

Acute appendicitis is the most common cause of abdominal muscle derange requiring urgent surgery in children and is a true GI emergency.1 The diagnosis is suspected and made primarily on the develop end of clinical findings. Classically, these clinical findings consist of periumbilical pain migrating to the right(a) overturn quadrant, accompanied by fever and leukocytosis. However, the classic signs argon non always present, and symptoms place be nonspecific and overlap with early(a) causes of abdominal pain. The clinical presentation is also complicated in young children by their limited communication skills. Historically, computed tomography (CT) has been the frontmost plectrum of imaging in acute abdominal pain, with esthesia of up to 96% and specificity of up to 97%.25 However, because of the increase awareness of the radiation sickness dose imparted to patients by CT and the theoretic increased fortune of cancer that it causes,6 there is a across the nation ca usal agency to reduce the radiation from diagnostic imaging in children (Image Gently).7 echography uses lumbering waves instead of ionizing radiation to evaluate for disorder and in around studies has demonstrated accuracy similar to that of CT.5,8 Therefore, ultraechography should be utilize as the primary diagnostic way in the evaluation of suspected acute appendicitis in children.
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Sonography is widely available, can be performed at the bedside, involves a minuscule acquisition time, does non use ionizing radiation, is relatively inexpensive, and may parade evidence of new(prenominal) causes of abdomi nal pain. It is particularly useful in evalu! ating young women, in whom the radiation dose to the reproductive variety meat should be minimized and for whom it is important to exclude ovarian and uterine conditions that mightiness mimic appendicitis. There have been multiple studies evaluating the prize of sonography in the evaluation of appendicitis, showing varying sensitivity, specificity, and accuracy. However, a novel study by Pacharn et al9 found that sonography for...If you insufficiency to hail a full essay, order it on our website: OrderCustomPaper.com

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