Appendicitis Flashcards
1
Q
MCC of adult appendicitis?
A
Abdominal Sx fuck up
2
Q
Study of choice for appendicitis?
A
CT IV Contrast
W/O contrast is fine if pt cannot tolerate it (renal insuff, Metformin)
3
Q
Youre more like to get appendicitis if <_____yo
A
30
4
Q
Trmnt for Perforated appendicitis with abscess ≤ 3cm? >3cm?
A
- ABX 1hr prior to Sx
- Small (≤ 3cm) abscess -> Appendectomy ASAP
- Large (>3cm) abscess -> IV ABX & Drainage
5
Q
Trmnt for Non-perforated appendicitis
A
Cefazolin (Ancef) + Metronidazole (Flagyl)
PCN or Cephalosporin Allx? -> Clindamycin + Fluoroquinolone or gentamicin, or aztreonam (Azactam)
6
Q
Study of choice for child with sussy appendicitis?
A
US
if inconclusive -> CAT Scan or serial exams
7
Q
Is open or laparoscopic Sx approach preferred for kids?
A
Laparoscopic
8
Q
Pediatric appendicitis score
A
