During my fellowship at an academic medical center, we always started with
US for diagnosis of appendicits. I am now at a PED in a community hospital
and after some encouragement, radiology has agreed to use US to look for
appendicitis. It has been a slow start with many false negatives or
non-diagnostic studies. We have done follow up CT scans on most of these,
but after about 2 years, we are having more true positive studies. I think
the reduction in radiation exposure makes it worthwhile. It also really
does not take extra time as we use oral contrast for the CT scans with an
hour between doses and you can start that before the US.
On Wed, Apr 14, 2010 at 8:36 AM, John Lee <[log in to unmask]> wrote:
> How many of you are using US for initial imaging for suspected appendicitis
> in kids? If you use US, are you at an academic or community hospital.
> Because US is more proficiency dependent, I am tending to use CT. I
> that there is more proficiency US for appendicitis at academic centers. I
> personally have never actually had a patient with an US that is positive
> appendicitis, but anecdotally a handful with negative/equivocal US and
> positive CT.
> John Lee
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