Clinical practice. Suspected appendicitis.

February 3, 2014 at 2:02 pm

N Engl J Med 2003 Jan 16; 348(3) :236-42.

Paulson EK, Kalady MF, Pappas TN

Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA. pauls003@mc.duke.edu

An otherwise healthy 22-year-old woman comes to the emergency department with acute abdominal pain of 18 hours’ duration in the right lower quadrant.

On physical examination, she is afebrile, with tenderness on deep palpation in the right lower quadrant, and has no peritoneal signs. Pelvic examination reveals tenderness in the right adnexa without a mass.

How should this patient be further evaluated?

PDF

http://www.nejm.org/doi/pdf/10.1056/NEJMcp013351

Entry filed under: Antimicrobianos, Bacterias, Bacteriemias, F.O.D, Infecciones intraabdominales, Metodos diagnosticos, Sepsis.

Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. The Alvarado score for predicting acute appendicitis: a systematic review.


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