Appendicitis: Difference between revisions
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'''Appendicitis''' is defined as "Acute inflammation of the [[appendix]]. Acute appendicitis is classified as simple, gangrenous, or perforated."<ref>National Library of Medicine. http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?term=appendicitis</ref> | '''Appendicitis''' is defined as "Acute inflammation of the [[appendix]]. Acute appendicitis is classified as simple, gangrenous, or perforated."<ref>National Library of Medicine. http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?term=appendicitis</ref> | ||
The rates of unnecessary appendectomy and of perforation have not improved over time<ref name="pmid11594900">{{cite journal |author=Flum DR, Morris A, Koepsell T, Dellinger EP |title=Has misdiagnosis of appendicitis decreased over time? A population-based analysis |journal=JAMA |volume=286 |issue=14 |pages=1748–53 |year=2001 |month=October |pmid=11594900 |doi= |url=http://jama.ama-assn.org/cgi/pmidlookup?view=long&pmid=11594900 |issn=}}</ref><ref name="pmid4087950">{{cite journal |author=Scitovsky AA |title=Changes in the costs of treatment of selected illnesses, 1971-1981 |journal=Med Care |volume=23 |issue=12 |pages=1345–57 |year=1985 |month=December |pmid=4087950 |doi= |url= |issn=}}</ref> in spite of increased use of laboratory tests<ref name="pmid4087950">{{cite journal |author=Scitovsky AA |title=Changes in the costs of treatment of selected illnesses, 1971-1981 |journal=Med Care |volume=23 |issue=12 |pages=1345–57 |year=1985 |month=December |pmid=4087950 |doi= |url= |issn=}}</ref> and [[diagnostic imaging]]<ref name="pmid12620554">{{cite journal |author=Perez J, Barone JE, Wilbanks TO, Jorgensson D, Corvo PR |title=Liberal use of computed tomography scanning does not improve diagnostic accuracy in appendicitis |journal=Am. J. Surg. |volume=185 |issue=3 |pages=194–7 |year=2003 |month=March |pmid=12620554 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0002961002013648 |issn=}}</ref>. <!-- Need to check PMID: 13865085 --> | |||
==Complications== | ==Complications== | ||
Revision as of 03:04, 14 February 2009
Appendicitis is defined as "Acute inflammation of the appendix. Acute appendicitis is classified as simple, gangrenous, or perforated."[1]
The rates of unnecessary appendectomy and of perforation have not improved over time[2][3] in spite of increased use of laboratory tests[3] and diagnostic imaging[4].
Complications
Abscess
Appendiceal abscess or phlegmon occurs in 4% of cases.[5] It is controversial whether these patients require and appendectomy.[5]
References
- ↑ National Library of Medicine. http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?term=appendicitis
- ↑ Flum DR, Morris A, Koepsell T, Dellinger EP (October 2001). "Has misdiagnosis of appendicitis decreased over time? A population-based analysis". JAMA 286 (14): 1748–53. PMID 11594900. [e]
- ↑ 3.0 3.1 Scitovsky AA (December 1985). "Changes in the costs of treatment of selected illnesses, 1971-1981". Med Care 23 (12): 1345–57. PMID 4087950. [e]
- ↑ Perez J, Barone JE, Wilbanks TO, Jorgensson D, Corvo PR (March 2003). "Liberal use of computed tomography scanning does not improve diagnostic accuracy in appendicitis". Am. J. Surg. 185 (3): 194–7. PMID 12620554. [e]
- ↑ 5.0 5.1 Andersson RE, Petzold MG (2007). "Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis". Ann. Surg. 246 (5): 741–8. DOI:10.1097/SLA.0b013e31811f3f9f. PMID 17968164. Research Blogging.