1. Appendicitis_Diagnosis An article on the clinical findings, patient history and physical exam in diagnosis for this disorder. http://www.swmed.edu/news/append.html

UT Southwestern physicians define best mode for appendicitis diagnosis Contact: Reyes Abila e-mail: abila@utsw.swmed.edu DALLAS Nov. 19, 1996 The most accurate way to diagnose appendicitis in a clinical setting still appears to be by combining the findings from the patient history and physical exams, concluded internal medicine physicians at UT Southwestern Medical Center at Dallas. The review, "Does This Patient Have Appendicitis?," was published in the Nov. 20 edition of the Journal of the American Medical Association. Dr. James M. Wagner, associate professor of internal medicine and associate dean for student affairs, and his colleagues reviewed 10 well-documented appendicitis studies involving 4,000 patients to determine the effectiveness of the patient-history exam and physical exam in diagnosing appendicitis. "Too often technology is too heavily relied upon in the diagnosis of illnesses that afflict patients. In many instances, like appendicitis, a careful clinical examination is as good as or better than expensive high-tech tests," Wagner said. "We wanted to review the literature and find the most powerful aspects of the clinical examination in the evaluation of a patient with abdominal pain." The physicians found that six aspects of the history exam and the presence of at least four of seven physical symptoms provided the best method for diagnosing appendicitis without the aid of surgical methods. Observation of right lower-quadrant pain, rigidity of the lower abdominal muscle wall and migration of pain from the left side to the right side of the abdomen are the three most prominent clinical findings that indicate a high probability of appendicitis, Wagner said.

2. Appendicitis Information on inflammation of the appendix, from the National Digestive Diseases Clearinghouse.Category Health Conditions and Diseases Intestinal appendicitis......appendicitis is inflammation of the appendix, a small pouch attached to the cecum,the beginning of the colon, on the lower right side of the abdomen. http://www.niddk.nih.gov/health/digest/summary/append/

Appendicitis is inflammation of the appendix, a small pouch attached to the cecum, the beginning of the colon, on the lower right side of the abdomen. The appendix is not necessary for life, but it can become diseased. If untreated, an inflamed appendix can burst, causing infection and even death. Appendicitis can affect people at any age. It is most common in people ages 10 to 30. The cause of appendicitis is usually unknown. It may occur after a viral infection in the digestive tract or when the opening connecting the large intestine and appendix is blocked. The inflammation can cause infection, a blood clot, or rupture of the appendix. Because of the risk of rupture, appendicitis is considered an emergency. Anyone with symptoms needs to see a doctor immediately. Symptoms include pain in the right side of the abdomen nausea vomiting constipation diarrhea inability to pass gas low fever that begins after other symptoms abdominal swelling anorexia The pain usually begins near the navel and moves down and to the right. The pain becomes worse when moving, taking deep breaths, coughing, sneezing, and being touched in the area. Not everyone has all the symptoms. People with symptoms of appendicitis should not take laxatives or enemas to relieve constipation because these medicines could cause the appendix to burst. Pain medicine can mask symptoms that the doctor needs to know about, so it should not be used before consulting a doctor when appendicitis is suspected.

3. EMedicine - Appendicitis, Acute : Article By Sandy Craig, MD CLINICAL AND DIAGNOSTIC IMAGING CORRELATES IN appendicitis IN CHILDREN A Computer Aided Teaching Program A Vade MD, CG Salomon MD , CL Kalbhen MD, JR Halama PhD Loyola University Medical Center, Maywood, Illinois http://www.emedicine.com/emerg/topic41.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Gastrointestinal Appendicitis, Acute Last Updated: December 13, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Sandy Craig, MD , Associate Program Director, Clinical Instructor, Department of Emergency Medicine, University of North Carolina at Chapel Hill, Carolinas Medical Center Sandy Craig, MD, is a member of the following medical societies: Alpha Omega Alpha , and Society for Academic Emergency Medicine Editor(s): William Lober, MD , Instructor, Department of Medical Education, Division of Biomedical and Health Informatics, University of Washington School of Medicine; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Eugene Hardin, MD , Chair, Department of Emergency Medicine, Martin Luther King Jr/Charles R Drew Medical Center; Medical Director, Hubert H Humphrey Comprehensive Health Center; John Halamka, MD

4. Appendicitis Select an FTP Site The first step to access our Listings by Author and/or by Title is to select an FTP site. We do not keep etext files on this site. Instead, many FTP sites throughout the world hold the whole Project Gutenberg archive of texts. http://www.netdoctor.co.uk/diseases/facts/appendictitis.htm

The UK's leading independent health website Search NetDoctor NetDoctor.co.uk Home News and features News Newsletter Features Encyclopaedia Diseases Medicines Examinations Health centres Cancer Children's health Depression Erectile dysfunction ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital NetDoctor on call Search Medline ... Text message services Information About NetDoctor Commercial opportunities NetDoctor.com Appendicitis Reviewed by Dr Robert Diggory , consultant general surgeon and Dr Paul Klenerman , consultant physician and infection specialist What is appendicitis? The appendix (A) is a small worm-like pouch attached to the large bowel (B) right after the small intestine (C). The function of the appendix is uncertain and there seems to be no long-term problems in living without it. Appendicitis is an inflammation of the appendix, a small worm-like pouch attached to the large bowel. It can happen at any age but most cases are between 8 and 25 years of age. It is rarely seen in children aged under two years. For young people, appendicitis is probably the most common cause of stomach pain requiring emergency surgery. What causes appendicitis?

5. Appendicitis - RadiologyChannel.net Everyone knows someone who had appendicitis. It is said to occur in around 10 percent of the general population. The appendix resembles a smaller, thinner version of your pinky finger. http://www.radiologychannel.net/appendicitis/index.shtml

Home Search SiteMap Ask the Dr. ... Medical Store advertisement GETTING STARTED Glossary Letter from the editor About Radiology What Is a Radiologist? Technologists IMAGING TESTS Barium Enema Computerized Tomography Intravenous Pyelogram Interventional Procedures Magnetic Resonance Imaging (MRI) Mammography Ultrasound Upper GI Vertebroplasty CONDITIONS Appendicitis Carotid Artery Disease Diverticulitis Gallbladder Reflux Kidney Stones Low Back Pain Neck Pain Thrombophlebitis ... Ulcers INSIDE RADIOLOGY Patient Rights Things that may hurt A day with a radiologist A day with a technologist DISCOVERY Videos History INTERACT RadiologyForum™ Clinical Trials ABOUT US Healthcommunities.com Pressroom Testimonials Everyone knows someone who had appendicitis. It is said to occur in around 10 percent of the general population. The appendix resembles a smaller, thinner version of your pinky finger. Generally, it sits there in your right lower abdomen attached to the beginning of your large bowel, the cecum, quietly and without commotion. Should the channel in that little tube get itself blocked by small stones, debris, or whatever, bacteria can grow, causing an inflammation of the appendix. Like infection anywhere in the body, appendicitis is generally associated with tenderness over the area that is inflamed, fever, and an elevated white blood count. If treatment is delayed or if the disease is running a rampant course, the appendix may perforate. As discussed in the section ulcer , contact between the sterile abdominal (peritoneal) cavity and the inside of the GI tract is a major problem so time is of the essence. The diagnosis needs to be made quickly, the patient placed on antibiotics, and the appendix removed.

6. Health And Medical Information: Diseases And Conditions, Medical Dictionary, Pro A look at what this disorder is, the symptoms, diagnosis and treatment. http://www.medicinenet.com/Script/Main/Art.asp?li=MNI&ArticleKey=280

7. PROJECT GUTENBERG OFFICIAL HOME SITE -- Listing By AUTHOR John Henry Tilden. http://promo.net/cgi-promo/pg/cat.cgi?&label=ID&ftpsite=ftp://ibiblio.or

8. Pediatric General Surgery Information regarding chest and abdominal problems (such as appendicitis, hernias, pyloric stenosis, and intestinal atresias) in infants, children and adolescents, and how they may be diagnosed and treated with surgical procedures. http://www.pedisurg.com/gensurg.htm

Pediatric General Surgery Our General Surgeons: Richard J. Andrassy, M.D. Martin L. Blakely, M.D. Charles S. Cox, M.D Kevin P. Lally, M.D We have patient education files designed to inform you about the diagnosis and treatment of many pediatric surgical conditions: after surgery care appendicitis Baker's cyst branchial cleft cyst ... Wilm's Tumor (Nephroblastoma) You can find information about symptoms or conditions not listed above by using our search engine Richard J. Andrassy, M.D.: graduate of the Medical College of Virginia general surgery residency at Wilford Hall USAF Medical Center and fellowships in Pediatric Surgery and Pediatric Surgical Oncology at the Children's Hospital of Los Angeles former Chief of Pediatric Surgery and the current Chairman of the Department of Surgery at the University of Texas Medical School at Houston, and Chief of Pediatric Surgery at M.D. Anderson Cancer Center board certified in general and pediatric surgery, with a special interest in surgical oncology and non-cardiac chest surgery offices in the Medical Center (Hermann Professional Building and MD Anderson Cancer Center) curriculum vitae Martin L. Blakely, M. D.:

9. EMedicine - Pediatrics, Appendicitis : Article By Jeffrey Tucker, MD Pediatrics, appendicitis appendicitis is an acute inflammation of theappendix. Pediatrics, appendicitis. Last Updated September 11, 2001, http://www.emedicine.com/emerg/topic361.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Pediatric Pediatrics, Appendicitis Last Updated: September 11, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Jeffrey Tucker, MD , Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Connecticut and Connecticut Children's Medical Center Jeffrey Tucker, MD, is a member of the following medical societies: American Academy of Clinical Toxicology American Academy of Pediatrics American Association of Poison Control Centers , and Massachusetts Medical Society Editor(s): Kirsten Bechtel, MD , Assistant Professor, Department of Pediatrics, Division of Pediatric Emergency Medicine, Yale-New Haven Children's Hospital; Robert Konop, PharmD , Clinical Assistant Professor, Department of Pharmacy, Section of Clinical Pharmacology, University of Minnesota; Wayne Wolfram, MD, MPH

10. Gastrointestinal Disorders On Medbroadcast.com Learn about gastrointestinal (GI) disorders including appendicitis, hemorrhoids, rectal/anal problems, inflammatory bowel disease and diverticular disease. Check out the diagnosis, symptoms and treatment options. http://www.medbroadcast.com/health_topics/general_surgery/index.shtml

Abdominal pain, cramping, weight loss, bleeding from the rectum, fatigue, diarrhea - these symptoms can apply to a variety of gastrointestinal disorders. This channel is designed to provide concise information on signs and symptoms, and diagnosis and treatments including medications, surgical techniques and diet. Members only. Join now? Bowel habits Family history Medical history Go to My Health Record Useful health management tools: Do you have GERD? Test your knowledge on diverticular disease Cancer screening tool See A - Z of all health management tools Laparoscopic hernia repair See A - Z of all videos and animations Find out more about Find out about clinical trials of new drugs. Trials where you live, or every trial underway. About clinical trials Find clinical trials Useful support organizations: Crohn's and Colitis Foundation of Canada Crohn's and Colitis Foundation of America Find all support groups for this health topic. Conference highlights Find a Canadian physician Find a US physician Health Canada ... Dictionary Gastrointestinal disorders Appendicitis Diverticular disease Gallstones Gastroesophageal Reflux ... Hernia Conference highlights Cox2 Inhibitors Related topics Pain Bleeding from the rectum is an extremely common condition and in the vast majority of cases it is harmless. However, symptoms such as cramping, diarrhea, constipation or pain associated with the bleeding, can be an indication of something more serious.

11. Gastrointestinal Pathology This is the tip of the appendix from a patient with acute appendicitis. The appendix has been sectioned in half. The serosal surface at the left shows a tanyellow exudate. http://www-medlib.med.utah.edu/WebPath/GIHTML/GI055.html

This is the tip of the appendix from a patient with acute appendicitis. The appendix has been sectioned in half. The serosal surface at the left shows a tan-yellow exudate. The cut surface at the right demonstrates yellowish-tan mucosal exudation with a hyperemic border.

12. Ronald E. Cooper, M.D. Specializes in general and laparoscopic surgery including gallbladder, hernia, vasectomy, and appendicitis. Includes information on treatments, and contact information. http://www.drcooper.com/

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13. MEDLINEplus: Appendicitis All Topics. appendicitis. Contents of this Children Teenagers. Search MEDLINEfor recent research articles on • appendicitis. You may also http://www.nlm.nih.gov/medlineplus/appendicitis.html

Skip navigation Other health topics: A B C D ... List of All Topics Appendicitis Contents of this page: From the NIH General/Overviews Diagnosis/Symptoms Treatment ... Teenagers Search MEDLINE for recent research articles on Appendicitis You may also be interested in these MEDLINEplus related pages: Digestive System From the National Institutes of Health Appendicitis (National Digestive Diseases Information Clearinghouse) General/Overviews Appendicitis (Mayo Foundation for Medical Education and Research) Diagnosis/Symptoms Abdominal Pain, Acute: Self-Care Flowcharts (American Academy of Family Physicians) Treatment Appendectomy (Removal of the Appendix) (American College of Surgeons) Dictionaries/Glossaries Digestive Diseases Dictionary (National Digestive Diseases Information Clearinghouse) Directories Gastroenterologist Locator Service (American Gastroenterological Association) Organizations National Institute of Diabetes and Digestive and Kidney Diseases Children Appendicitis (Nemours Foundation) Appendicitis (Nemours Foundation) JAMA Patient Page: Detecting Appendicitis in Your Children (American Medical Association) Teenagers Appendicitis for Teens (Nemours Foundation) Health services in North Carolina Other states coming - learn more The primary NIH organization for research on Appendicitis is the National Institute of Diabetes and Digestive and Kidney Diseases Health Topics Drug Information Encyclopedia ... U.S. National Library of Medicine

14. MEDLINEplus Medical Encyclopedia: Appendicitis appendicitis. Causes, incidence, and risk factors Return to top. appendicitis isone of the most common causes of emergency abdominal surgery in children. http://www.nlm.nih.gov/medlineplus/ency/article/000256.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Appendicitis Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Calling your health care provider Illustrations Anatomical landmarks, front view Digestive system Appendectomy - series Definition Return to top A sudden inflammation of the appendix. The appendix is a narrow, small, finger-shaped tube that branches off the large intestine. Causes, incidence, and risk factors Return to top Appendicitis is one of the most common causes of emergency abdominal surgery in children. Approximately 4 appendectomies per 1000 children under age 18 are done annually in the United States. It is more common in males than females and incidence peaks in the late teens and early twenties. Appendicitis is uncommon under age two, but it can occur. Appendicitis generally follows obstruction of the appendix by feces (fecalith), a foreign body, or rarely, a tumor Symptoms of appendicitis in young children are seldom classic so diagnosis is commonly delayed and perforation more likely. Older children and adolescents usually have a more typical presentation. Classic presentation of appendicitis begins with crampy or "colicky" pain around the navel (periumbilical). There is usually a marked loss or total absence of appetite (

15. MayoClinic Find out how to avoid diverticulitis, a condition with similar symptoms to appendicitis, by eating more fiber. http://www.mayoclinic.com/home?id=HQ00548

16. Appendicitis In Children CLINICAL AND DIAGNOSTIC IMAGING CORRELATES IN appendicitis IN CHILDRENA Computer Aided Teaching Program. A Vade MD, CG Salomon http://lunis.lumc.edu/radiology/Appendicitis/

HTTP 200 Document follows Date: Sun, 30 Mar 2003 21:57:16 GMT Server: NCSA/1.5.2 Last-modified: Wed, 25 Nov 1998 20:47:40 GMT Content-type: text/html Content-length: 7307 CLINICAL AND DIAGNOSTIC IMAGING CORRELATES IN APPENDICITIS IN CHILDREN A Computer Aided Teaching Program A Vade MD, CG Salomon MD , CL Kalbhen MD, JR Halama PhD Loyola University Medical Center, Maywood, Illinois Instructions 1. The teaching program is accessed through the table of contents. 2. Single-click on the bold blue subject headings to go to the topics indicated. At the end of each major subject heading, you may return to the Table of Contents or proceed to the next section by clicking on the appropriate choice. Within each subject, you may return to the Table of Contents by clicking on this heading or proceed to the next subsection (or sub-subsection) by default. 3. The cases and images presented contain multiple teaching points. Single-clicking on the bold blue italic words will allow direct access to illustrative cases and related topics. You may return to the original subject heading or proceed to related topics after each image by clicking on the appropriate choice. Table of Contents Abstract Introduction Natural History Epidemiology ... References

17. The Children's Hospital At Westmead - Parents - Appendicitis An explanation of appendicitis and the appropriate treatment is given.What happens prior to and after surgery is outlined. appendicitis. http://www.chw.edu.au/parents/factsheets/suappenj.htm

Common Illness Common Problems Ears Eyes ... Appendicitis Appendicitis What is an appendix? The appendix is a coiled, five to ten centimetre tube attached to the caecum (the first part of the large intestine), usually located in the lower right side of the abdomen. What is appendicitis? Appendicitis is inflammation of the appendix. This can be caused by an infection or the appendix can become blocked by bowel contents. With a blockage the appendix can become swollen and easily infected by bacteria. What are the most common signs and symptoms of appendicitis? Abdominal pain that starts near the belly button, then moves to the right side fever vomiting diarrhoea or constipation change in a child's behaviour. Treatment of appendicitis The best treatment of appendicitis is removal of the appendix. Once diagnosis is confirmed, the earlier surgery is done, the better (within the first 48 hours). Delay makes rupture of the appendix more likely, and if that happens, infection spreads within the abdominal cavity (peritonitis). What happens to my child before going to theatre?

18. 1Up Health > Appendicitis > Causes, Incidence, And Risk Factors Of Appendicitis appendicitis . Read detailed information about appendicitis . Includesa set of questions and answers related to appendicitis , as http://www.1uphealth.com/medical/disease/digestion-disease/appendicitis-1.html

1Up Health Appendicitis Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Appendicitis Information Appendicitis Causes, Incidence, and Risk Factors Definition : A sudden inflammation of the appendix. The appendix is a narrow, small, finger-shaped tube that branches off the large intestine. Causes, Incidence, and Risk Factors Appendicitis is one of the most common causes of emergency abdominal surgery in children. Approximately 4 appendectomies per 1000 children under age 18 are done annually in the United States. It is more common in males than females and incidence peaks in the late teens and early twenties. Appendicitis is uncommon under age two, but it can occur. Appendicitis generally follows obstruction of the appendix by feces (fecalith), a foreign body, or rarely, a tumor Symptoms of appendicitis in young children are seldom classic so diagnosis is commonly delayed and perforation more likely. Older children and adolescents usually have a more typical presentation. Classic presentation of appendicitis begins with crampy or "colicky" pain around the navel (periumbilical). There is usually a marked loss or total absence of appetite (

19. Appendectomy - Surgerychannel.com Appendectomy is the standard treatment for appendicitis (inflammation and infection of the appendix) and patients usually recover from appendectomy without experiencing complications. http://www.surgerychannel.com/appendectomy/

Home Search SiteMap Ask the Dr. ... Medical Store advertisement advertisement APPENDECTOMY Overview Surgical Procedures Preoperative Postoperative ... Complications SURGERIES Appendectomy Breast Biopsy Cholecystectomy Colon Resection ... Nissen Fundoplication Sphincterotomy GENERAL INFORMATION Anesthesia Preoperative Postoperative INTERACT SurgeryForum™ Links Clinical Trials ABOUT US Healthcommunities.com Pressroom Testimonials Bibliography Overview Appendectomy is the surgical removal of the appendix, a small, finger-shaped pouch that is located at the cecum (the junction between the large and small intestines). The surgery is the standard treatment for appendicitis (inflammation and infection of the appendix) and patients usually recover from appendectomy without experiencing complications. A ruptured appendix is considered a medical emergency. Surgical Procedures Surgeons use one of two surgical techniques, open appendectomy or laparoscopic appendectomy . The choice of method is made by the surgeon on a case-by-case basis. General anesthesia (agent that renders the patient unconscious) is used in both procedures. Open Appendectomy Open appendectomy is the traditional method and the standard treatment for appendicitis. The surgeon makes an incision in the lower right abdomen, pulls the appendix through the incision, ties it off at its base, and removes it. Care is taken to avoid spilling purulent material (pus) from the appendix while it is being removed. The incision is then sutured.

20. 1Up Health > Appendicitis > Causes, Incidence, And Risk Factors Of Appendicitis Comprehesive information on appendicitis . 1Up Health Diseases Conditions appendicitis Causes, Incidence, and Risk Factors. http://www.1uphealth.com/health/appendicitis_info.html

1Up Health Appendicitis Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Appendicitis Information Appendicitis Causes, Incidence, and Risk Factors Definition : A sudden inflammation of the appendix. The appendix is a narrow, small, finger-shaped tube that branches off the large intestine. Causes, Incidence, and Risk Factors Appendicitis is one of the most common causes of emergency abdominal surgery in children. Approximately 4 appendectomies per 1000 children under age 18 are done annually in the United States. It is more common in males than females and incidence peaks in the late teens and early twenties. Appendicitis is uncommon under age two, but it can occur. Appendicitis generally follows obstruction of the appendix by feces (fecalith), a foreign body, or rarely, a tumor Symptoms of appendicitis in young children are seldom classic so diagnosis is commonly delayed and perforation more likely. Older children and adolescents usually have a more typical presentation. Classic presentation of appendicitis begins with crampy or "colicky" pain around the navel (periumbilical). There is usually a marked loss or total absence of appetite (

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