we use it most of the time unless we suspect abscess. our radiologists
and surgeons had a learning curve, but faced w/ the lit they have come
around, and when it is unequivocal, it is great. if neg, we either scan
or adm for serial exams, or have come back in 12 hours. while I don't
have data,we have reduced cts a great deal. we are an academic community
hospital affiliated with the university for one of our residency programs.
I"d suggest speaking to radiol and surg and start trying it, understanding
you will end up cting kids after a pos us because surg is not comfortable,
but after they see ct confirmation, you will start to be able to skip the
ct. generally better for pos than for neg. you will not eliminate ct,
but it will reduce them a lot. esp for thinner pts.
On Wed, 14 Apr 2010, John Lee 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 suspect
> 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 for
> appendicitis, but anecdotally a handful with negative/equivocal US and
> positive CT.
> John Lee
> NOTICE: This email and any documents or attachments are intended solely for
> the use of the addressed recipient. If you are not the intended recipient,
> this email and all electronic or hard copies are to be destroyed and any
> further use or distribution is unauthorized.
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: