Impact of Protocol for Children with Right Lower Quadrant Abdominal Pain
|
|
|
- Evangeline Lamb
- 6 years ago
- Views:
Transcription
1 Impact of Protocol for Children with Right Lower Quadrant Abdominal Pain Saad A Saad, MD, FACS, FAAP Surgeon Champion NSQIP-Ped Christine Williams, PA-C Surgical Case Review K.Hovnanian Children s Hospital at JSUMC Neptune, New Jersey, USA
2 DISCLOSURE NONE TO DISCLOSE
3 Protocol for children with RLQ Abdominal Pain Purpose of the Protocol: 1. Expedite transfer of Children with RLQ abdominal Pain or Appendicitis from all Meridian Hospitals to KHCH 2. Expedite surgical and Medical care of these children at KHCH 3. Decrease complications after appendectomy caused by the delay in transfer of Children with RQL Abdominal Pain and Appendicitis
4 PROTOCOL a. Meridian Hospitals other than KHCH at JSUMC 1. Child with fever, abdominal pain & Tenderness in RLQ in the past h, and high WBC with shift to left.do Not Do any more testing & immediately transfer child to KHCH 2. Child with abdominal pain in the past 1-2 weeks. Do abdominal x-ray. If constipation. Do Not Do CAT Scan of abdomen. If constipation D/C pt & ask family to call the primary care MD or the Pediatric surgeon within 24 h. If not sure admit child for 23 h for observation. If No improvement Transfer child to KHCH.
5 PROTOCOL 3. Child with RLQ abdominal pain in the past hours not sure of diagnosis Do Ultra Sound ( or CAT Scan if US is not available). If still not sure of diagnosis or Ultra Sound/CAT Scan is positive for acute appendicitis then transfer the child to KHCH. If Ultra Sound/CAT Scan is normal then discharge child. Family must contact there primary care physician or pediatric surgeon next day 4. Any teenage girl with RLQ abdominal pain must do Ultra Sound of abdomen & pelvis to check for ovarian mass/cyst
6 PROTOCOL b. K Hovnanian Children s Hospital at JSUMC: 1. Child in Emergency Room i. Child with fever, abdominal pain & Tenderness in RLQ in the past h, and high WBC with shift to left.do Not Do any more testing & immediately call the surgical resident or the pediatric surgeon if surgical resident not available. ii. Child with abdominal pain in the past 1-2 weeks. Do abdominal x-ray If constipation. Do Not Do CAT Scan of abdomen. If constipation D/C pt & ask family to call the primary care MD or the Pediatric surgeon within 24 h.
7 PROTOCOL iii. Child with RLQ abdominal pain in the past hours not sure of diagnosis Do Ultra Sound. If still not sure of diagnosis call surgical Resident to evaluate child. If not sure of diagnosis admit child for 23 hours observation vi. Any teenage girl with RLQ abdominal pain must do Ultra Sound of abdomen & pelvis to check for ovarian mass/cyst
8 PROTOCOL Protocol Approved by: Chair of Pediatric at KHCH Chair of Pediatric, Riverview Medical Center Chair of Pediatric Bayshore Medical Center Chair of Pediatric Ocean Medical Center Chair of Pediatric Southern Ocean Medical Center
9 METHOD Retrospective study of the Impact of the Protocol for children with RLQ Abdominal Pain and Acute Appendicitis 1. January 1, 2013-November 25, patients 3. Two groups: Meridian Hospitals including KHCH ( 79 patients) vs Non Meridian Hospitals ( 14 patients ) 4. KHCH of Meridian Hospitals System is Member of NSQIP-Ped 5. KHCH developed Protocol for transfer of Children with RLQ Abdominal Pain and Appendicitis 6. Non Meridian Hospitals has No Protocol and is Not member of NSQIP-Ped
10 RESULTS Meridian Hospitals: A. Acute Appendicitis 45 cases 1. Before the Protocol January 1, May 22, 2013 : a. Transfer and admit to KHCH with above diagnosis more than 12 hours..24.1% 2. After the Protocol May 23, November 25, 2013 : 34 cases a. Transfer and admit to KHCH with above diagnosis more than 12 hours 16.4%. b. There is an improvement of 32 %
11 RESULTS Non Meridian Hospitals: A. Acute Appendicitis 14 cases 1. Before KHCH Protocol January 1, May 22, cases a. Transfer and admit to KHCH more than 12 hours 21.4% 2. After KHCH Protocol May 23, November 25, cases a. Transfer and admit to KHCH more than 12 hours 28.6%. b. There is No improvement before or after KHCH protocol, even got worse
12 CONCLUSION a. Meridian Hospitals KHCH member of NSQIP-Ped with Protocol for children with RLQ Abdominal pain led us to: 1. Expedite transfer from all 5 Meridian Hospitals to KHCH children with RLQ Abdominal Pain/ acute appendicitis showed an improvement of 32% 2. The above improvement in transfer was the result of K. Hovnanian Children s Hospital joining NSQIP which led us to create our protocol which led to improvement in the quality of surgical care. b. None Meridian Hospitals who are not member of NSQIP-Ped and has no Protocol for children with RLQ Abdominal pain showed No improvement in transferring of these children to KHCH..
Medical Management of Appendicitis: Are We There Yet? Monica E. Lopez, MD, FACS, FAAP
Medical Management of Appendicitis: Are We There Yet? Monica E. Lopez, MD, FACS, FAAP Texas Children s Hospital Objectives Discuss the surgical and non-operative approaches to the treatment of appendicitis
Appendicitis USG vs CT
Appendicitis USG vs CT Dr Sateesh Kumar Kailasam MBBS Dip EM (RCGP, UK) MRCEM (UK) Group Head Maxcure Group of Hospitals National Treasurer Society for Emergency Medicine India (SEMI) My Talk includes
Washington State Hospital Association Safe Table Webcast 100K Children Campaign Safe Imaging September 15, 2014
Washington State Hospital Association Safe Table Webcast 100K Children Campaign Safe Imaging September 15, 2014 1 Presenters Becky DeMers, RN Director, Quality and Performance Improvement Washington State
Pediatric SC/SCR Education Session: Difficult Definitions. NSQIP Annual Meeting July 26, 2014
Pediatric SC/SCR Education Session: Difficult Definitions NSQIP Annual Meeting July 26, 2014 Actual patient Chart Abstraction: The Challenge o Demographics o Risk factors o Events/occurrences Documentation
LAPAROSCOPIC APPENDICECTOMY
LAPAROSCOPIC APPENDICECTOMY WHAT IS THE APPENDIX? The appendix is a small, fingerlike pouch of the intestinal tract located where the small and large join. It has no known use. It is postulated that the
MET Mobile Emergency Triage
MET Mobile Emergency Triage Saving Lives. Saving Dollars. Poznań University of Technology, Poland University of Ottawa, Canada CHEO (Childrens Hospital of Eastern Ontario), Canada What Triage Means? A
Scenario: Error and Apology 1
Scenario: Error and Apology 1 Background: 40 year old female with abdominal pain for 2 months presents to the radiology department for a CT of the abdomen and pelvis with IV contrast. The CT technologist
Appendicitis Care Map. Go directly to Care Map Flowchart
Appendicitis Care Map Go directly to Care Map Flowchart How to Use Reference Icons Go directly to Care Map Flowchart When accessing a document, please use the browser return arrow (upper left-hand corner)
Taking the itis out of Appendicitis
39 th National Conference on Pediatric Health Care March 19-22, 2018 CHICAGO Disclosures Taking the itis out of Appendicitis Sarah A. Martin Sarah has no disclosures Kelly S. Finkbeiner Kelly has no disclosures
Pitfalls in Paediatric Appendicitis: Highlighting Common Clinical Features of Missed Cases
Original Article Pitfalls in Paediatric Appendicitis: Highlighting Common Clinical Features of Missed Cases Melanie D.W. Seah and Kee-Chong Ng, Department of Emergency Medicine, KK Women s and Children
Appendicitis. Diagnosis and Surgery
Appendicitis Diagnosis and Surgery What Is Appendicitis? Your side may hurt so much that you called your doctor. Or maybe you went straight to the hospital emergency room. If the symptoms came on quickly,
Patient: Becky Smith DOB: 01/26/XXXX Age: 5 y/o Attending: Dr. D. Miles Allergies: NKA MR#: 203. Patient Chart #203 Becky Smith
Patient Chart #203 Becky Smith 1 Property of CSCLV CSCLV Rev: 06/04/2018 Chief Complaint: Abdominal pain. Informant: Parents. HISTORY & PHYSICAL HPI: Ill looking patient, healthy until 2 days ago when
Abdominal Pain. Luke Donnelly, MD Emergency Medicine
Abdominal Pain Luke Donnelly, MD Emergency Medicine Objectives Approach to abdominal pain Evaluation Critical diagnoses and treatments Abdominal Pain Most Common ER Complaint Broad Differential Can often
n Make tremendous difference in patients lives: n Diagnosing or excluding disease and injury n Evaluating response to therapy
Imaging: Choosing the Appropriate Exam Rob Milman, MD Austin Radiological Association What is a Radiologist? A physician who specializes in diagnosing and treating disease and injury by using medical imaging
Role of Alvarado Score in Diagnosis and Management of Acute Appendicitis
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2016/510 Role of Alvarado Score in Diagnosis and Management of Acute Appendicitis Chhari Akash Singh 1, Ashish Pratap Singh
Interesting Pediatric ultrasound cases. Presented by: Falguni Patel (RDMS, RVT)
Interesting Pediatric ultrasound cases Presented by: Falguni Patel (RDMS, RVT) Role of ultrasound to rule out Appendicitis Overview: Ultrasound is relatively inexpensive, safe and quick solution to rule
8/29/2016 DIVERTICULAR DISEASE: WHAT EVERY NURSE PRACTITIONER SHOULD KNOW. LENORE LAMANNA Ed.D, ANP-C LEARNING OBJECTIVES
DIVERTICULAR DISEASE: WHAT EVERY NURSE PRACTITIONER SHOULD KNOW LENORE LAMANNA Ed.D, ANP-C LEARNING OBJECTIVES Define Diverticular Disease Discuss Epidemiology and Pathophysiology of Diverticular disease
Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery
Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery Abdullah Wafa, M.D. General Surgery Resident, PGY2 St. Joseph Mercy Health System Ann Arbor
Right Iliac Fossa Pain
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Right Iliac Fossa Pain Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should
Patient Information. Age: 8 y/o Sex: Female. Date of Admission: Date of Discharge:
Patient Information Age: 8 y/o Sex: Female Date of Admission: 92-10-08 Date of Discharge: 92-10-18 Chief Complaint Severe admominal pain and vomiting with dysuria since last afternoon Present Illness Lower
Icd 10 right inguinal pain
Icd 10 right inguinal pain Search Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg. 2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years) R10.11 is
Citywide Infectious Disease Conference. March 27 th, 2018
Citywide Infectious Disease Conference March 27 th, 2018 Citywide Show and Tell Case 1 Summary 60 s year old Puerto Rican born man SCC of Esophagus, treated with radiation and chemotherapy and then esophageal
Emergency Surgery Board Department of General Surgery Rambam Health Care Campus
Emergency Surgery Board Department of General Surgery Rambam Health Care Campus Surgical Complications of Peptic Ulcer Disease Case Presentation and Review of the Literature Case Presentation 40y male
The accuracy of emergency medicine and surgical residents in the diagnosis of acute appendicitis
American Journal of Emergency Medicine (2010) 28, 766 770 www.elsevier.com/locate/ajem Original Contribution The accuracy of emergency medicine and surgical residents in the diagnosis of acute appendicitis
DEVELOPING AN EMERGENCY ROOM DIAGNOSTIC CHECK LIST USING ROUGH SETS: A CASE STUDY OF APPENDICITIS
DEVELOPING AN EMERGENCY ROOM DIAGNOSTIC CHECK LIST USING ROUGH SETS: A CASE STUDY OF APPENDICITIS Abstract Steven Rubin 1, Wojtek Michalowski 2, Roman Slowinski 3 1 Department of Surgery, University of
APPENDICITIS IN THE YOUNG CHILD. By Rebecca Lucas
1 APPENDICITIS IN THE YOUNG CHILD By Rebecca Lucas 2 When time counts the most Patient Profile 3 The patient 3 years old 2 months girl Usually is vibrant, articulate, incorrigible enjoys telling me how
Imaging in the Trauma Patient
Imaging in the Trauma Patient David A. Spain, MD Department of Surgery Stanford University Pan Scan Instead of Clinical Exam? 1 Granted, some patients don t need CT scan Platinum Package Stanford Special
Henry A. Pitt, M.D., F.A.C.S. Chief Quality Officer Temple University Health System July 23, 2018 Orlando, Florida
Are All OSIs Pancreatic Fistulas? Henry A. Pitt, M.D., F.A.C.S. Chief Quality Officer Temple University Health System July 23, 2018 Orlando, Florida DISCLOSURES Leader, ACS-NSQIP HPB Collaborative Hepatectomy
Appendicitis: When Simple Becomes not so Simple
Wright State University CORE Scholar Department of Surgery Faculty Publications Surgery 1-26-2010 Appendicitis: When Simple Becomes not so Simple Elizabeth H. Ey Wright State University, elizabeth.ey@wright.edu
Karyn A. Ledbetter, MD; Andrew K. Moriarity, MD; Safwan Halabi, MD Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202
LEARNING FROM OUR MISSED OPPORTUNITIES: INITIAL EXPERIENCE USING SONOGRAPHER REPORT CARDS TO IMPROVE THE DIAGNOSTIC ACCURACY OF PEDIATRIC APPENDIX ULTRASOUND AND DECREASE CT UTILIZATION Karyn A. Ledbetter,
General Data. 王 X 村 78 y/o 男性
General Data 王 X 村 78 y/o 男性 Chief Complaint Vomiting twice this early morning Fever up to 38.9ºC was noted Present Illness (1) Old CVA with left side weakness for more than 10 years and with bed ridden
Adult Intussusception
Bahrain Medical Bulletin, Vol. 27, No. 3, September 2005 Adult Intussusception Suhair Alsaad, MBCHB, CABS, FRCSI* Mariam Al-Muftah, MBCHB** Objectives: Adult intussusception is a rare entity. We present
Research Article Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
Surgery Research and Practice, Article ID 438076, 6 pages http://dx.doi.org/10.1155/2014/438076 Research Article Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and
NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes:
NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes: Implications for Benchmarking and Collaborative Quality Improvement Shawn J. Rangel, MD, MSCE ACS NSQIP Conference
Introduction Diagnosis of acute appendicitis is basically a clinical matter. Many patients present with a typical history and physical examination fin
Modified Clinical Score of Acute Appendicitis Surgical Department College Of Medicine Karballa University. Abstract B ackground Suspected acute appendicitis is the most common non traumatic admissions
Icd 10 code for groin pain in male
Icd 10 code for groin pain in male Free, official information about 2007 (and also 2008-2015) ICD-9-CM diagnosis code 789.0, including coding notes, detailed descriptions, index cross-references and. Free,
Acute Suppurative Mesenteric Lymphadenitis Complicated with Intraperitoneal Abscess: A Case Report
QP Acute Suppurative Mesenteric Lymphadenitis Complicated with Intraperitoneal Abscess: A Case Report Chun-Yu Chen 1, Wen-Chieh Yang 1, Han-Ping Wu 2,3,4 1 Department of pediatrics, Changhua Christian
CLINICAL VIGNETTE 2016; 2:1
CLINICAL VIGNETTE 2016; 2:1 Editor-in-Chief: Olufemi E. Idowu. Neurological surgery Division, Department of Surgery, LASUCOM/LASUTH, Ikeja, Lagos, Nigeria. MANAGEMENT OF APPENDICITIS Ibrahim NA, Njokanma
Surgical Education Series
Surgical Education Series The Acute Abdomen Ahmad kachooei, MD MPH Assistant Professor Division of General Surgery Department of Surgery University of Qom Outline Definitions What causes an acute abdomen
To Evaluate the Efficacy of Alvarado Score and Ultrasonography in Acute Appendicitis
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-853, p-issn: 2279-861.Volume 15, Issue 9 Ver. XI (September). 16), PP 14-18 www.iosrjournals.org To Evaluate the Efficacy of Alvarado
Emergency Abdominal MRI Protocols
2018 SPR Annual Meeting & Postgraduate Course May 15-19, 2018 Nashville, Tennessee Emergency Abdominal MRI Protocols Unni Udayasankar MD Associate Professor Department of Medical Imaging University of
Pediatric Case Studies. Case 1
Pediatric Case Studies James Naprawa, MD Assistant Clinical Professor Pediatric Emergency Medicine Children s Hospital, Columbus Case 1 Almost 4 year old AA girl PMH UTI x 2 with abdominal pain and fever
Family Centered Pediatric Emergency Department Sickle Cell Assessment of Needs and Strengths (FC-Peds-ED-SCANS) Overall Algorithm
Family Centered Pediatric Emergency Department Sickle Cell Assessment of Needs and Strengths (FC-Peds-ED-SCANS) Overall Algorithm Decision 1: Triage Decision 2: Analgesic Management Decision 3: Diagnostic
Small Bowel and Colon Surgery
Small Bowel and Colon Surgery Why Do I Need a Small Bowel Resection? A variety of conditions can damage your small bowel. In severe cases, your doctor may recommend removing part of your small bowel. Conditions
Department of Dentistry Rules and Regulations
I. INTRODUCTION Approved November 2009 Jersey Shore University Medical Center a Division of Meridian Hospitals Corporation Department of Dentistry Rules and Regulations The purpose of these Rules & Regulations
DIAGNOSING ACUTE APPENDICITIS ON ULTRASOUND WHERE DO WE STAND? Joanne Howey, Radiology Resident, PGY-4 McMaster University
DIAGNOSING ACUTE APPENDICITIS ON ULTRASOUND WHERE DO WE STAND? Joanne Howey, Radiology Resident, PGY-4 McMaster University Disclosure No relevant financial or non-financial relationships to disclose Outline
Male groin pain icd 9
Cari untuk: Cari Cari Male groin pain icd 9 Free, official information about 2013 (and also 2015) ICD-9-CM diagnosis code 789.0, including coding notes, detailed descriptions, index cross-references and
Suspected Appendicitis/ Abdominal Pain Evaluation and Management
Division of Pediatric Emergency Medicine Created 2009 Revised 206: Rivera, MD; Laffey, MD; Farmakis, MD; Villalona, MD Suspected Appendicitis/ Abdominal Pain Evaluation and Management History and Physical
CASE SCENARIO EXERCISE
påçííáëü=pìêîéáää~ååé=çñ=eé~äíüå~êé ^ëëçåá~íéç=fåñéåíáçå=mêçöê~ããé CASE SCENARIO EXERCISE CATHETER-ASSOCIATED URINARY TRACT INFECTION SURVEILLANCE SCOTTISH SURVEILLANCE OF HEALTHCARE ASSOCIATED INFECTION
Significance of Ripasa Scoring System in Diagnosis of Acute Appendicitis
Significance of Ripasa Scoring System in Diagnosis of Acute Appendicitis 1 Marwah Karan, 2 Maheshwari Kumar Mukesh, 3 Krishna Atul, 4 Agarwal Vijay, 5 Kumar Deepak, 6 Jain Atul, 7 Prasad Akshay 1,6,7 Resident,
Hip Pain in the Athlete: A Diagnostic Challenge
: A Diagnostic Challenge Matthew Gimre MD Sports Medicine 11 th Annual Sports Medicine Conference Presented June 17, 2017 on: Month day, Year Presented to: Insert relevant presenter information Calibri
Post-Operative Laparoscopic Appendectomy Guide. Dr. Buck Parker, MD FACS Board Certified Surgeon
Post-Operative Laparoscopic Appendectomy Guide Dr. Buck Parker, MD FACS Board Certified Surgeon www.drbuckparker.com Thanks! Thanks so much for downloading my laparoscopic appendectomy guide! This guide
Pelvic Pain. What you need to know. 139 Dumaresq Street Campbelltown Phone Fax
Pelvic Pain What you need to know 139 Dumaresq Street Campbelltown Phone 4628 5292 Fax 4628 0349 www.nureva.com.au September 2015 PELVIC PAIN This is a common problem and most women experience some form
Chapter 21. In this chapter: How to use this chapter:
352 Chapter 21 In this chapter: Sudden, Severe Pain in the Abdomen 354 Kinds of 354 During monthly bleeding 354 After childbirth, abortion, or miscarriage 355 With fever 355 With diarrhea 355 During pregnancy
Learning Objectives. Financial Disclosure. Breast Cancer Quality Improvement Project with Oncotype DX. Nothing to disclose
Breast Cancer Quality Improvement Project with Oncotype DX Denise Johnson Miller, MD, FACS Medical Director Breast Surgery Hackensack Meridian Health Legacy Meridian (Jersey Shore University Medical Center,
Noon Conference November 3, Appendicitis. Brad Sobolewski, MD Pediatric Emergency Medicine Fellow
Noon Conference November 3, 2010 Appendicitis Brad Sobolewski, MD Pediatric Emergency Medicine Fellow Appendicitis is the most common reason for emergency surgery in children Missing appendicitis leads
The Egyptian Journal of Hospital Medicine (July 2018) Vol. 72(2), Page
The Egyptian Journal of Hospital Medicine (July 2018) Vol. 72(2), Page 3904-3908 Comparative Study between Alvarado Score and Appendicitis Inflammatory Response Score in Diagnosis of Acute Appendicitis
Ultrasound of: Appendicitis Intussusception Pyloric Stenosis
Ultrasound of: Appendicitis Intussusception Pyloric Stenosis Andrew Phelps MD Assistant Professor Pediatric Radiology UCSF Benioff Children s Hospital No Disclosures Take Home Message Appendicitis occurs
The Implications of Missed Opportunities to Diagnose Appendicitis in Children
ORIGINAL RESEARCH CONTRIBUTION The Implications of Missed Opportunities to Diagnose Appendicitis in Children Jessica A. Naiditch, MD, Timothy B. Lautz, MD, Susan Daley, MD, Mary Clyde Pierce, MD, and Marleta
Guideline Summary NGC-7922
NGC banner Guideline Summary NGC-7922 Guideline Title ACR Appropriateness Criteria right lower quadrant pain suspected appendicitis. Bibliographic Source(s) Rosen MP, Ding A, Blake MA, Baker ME, Cash BD,
Introduction to Evidence Based Medicine:
Introduction to Evidence Based Medicine: General Abdominal Examination o Inspection Cullen s sign and Grey Turner s sign are indications of intraperitoneal or retroperitoneal hemorrhage. Traditionally,
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 6/23/2012 Radiology Quiz of the Week # 78 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
Icd 10 code for upper back shoulder blade pain
P ford residence southampton, ny Icd 10 code for upper back shoulder blade pain Acromioclavicular joint pain; acromioclavicular joint; scapula; Arthralgia (joint pain) of shoulder; Arthralgia ( joint pain)
Experiencing sharp pain in lower left abdomin when taking a deep breath
Experiencing sharp pain in lower left abdomin when taking a deep breath Belly pain, usually in the lower left side, that is sometimes worse when you move.. For example, try meditation or slow, deep breathing
Pain in groin icd 10 code
Pain in groin icd 10 code This is the 2018 version of the ICD- 10-CM diagnosis code R10.2 of sensation of vulva; Genitourinary tenderness; Girdle pain; Iliac fossa pain; Inguinal pain. generalized R10.84
Acute appendicitis is the most common surgical emergency in
FEATURE Is It Safe to Delay Appendectomy in Adults With Acute Appendicitis? Michael F. Ditillo, DO,* James D. Dziura, PhD, and Reuven Rabinovici, MD* Objective: To examine whether delayed surgical intervention
Presenters : Cathy Ballance MD,FAAP; Irvin Sherman, DDS,MscD; Nilay Baxi, MD, and Juliana David, MEd Psych
Presenters : Cathy Ballance MD,FAAP; Irvin Sherman, DDS,MscD; Nilay Baxi, MD, and Juliana David, MEd Psych Learning Objectives: Learn about the NJ Oral Health Initiative goals and activities during 2013
Clinical Study Ultrasound for Appendicitis: Performance and Integration with Clinical Parameters
BioMed Research International Volume 2016, Article ID 5697692, 8 pages http://dx.doi.org/10.1155/2016/5697692 Clinical Study Ultrasound for Appendicitis: Performance and Integration with Clinical Parameters
Endometriosis of the Appendix Resulting in Perforated Appendicitis
27 Endometriosis of the Appendix Resulting in Perforated Appendicitis Toru Hasegawa a Koichi Yoshida b Kazuhiro Matsui c a Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toyama,
Adult Trauma Advances in Pediatrics. (sometimes they are little adults) FAST examination. Who is bleeding? How much and what kind of TXA volume?
Adult Trauma Advances in Pediatrics (sometimes they are little adults) Alisa McQueen MD, FAAP, FACEP Associate Professor of Pediatrics The University of Chicago Alisa McQueen MD, FAAP, FACEP Associate
Evaluation of Acute Abdominal Pain
Evaluation of Acute Abdominal Pain Michael Ziegler, MD Pediatric Emergency Medicine Associates, LLC Pediatric Sedation Services, LLC Scottish Rite WellStar Healthcare Systems Objectives Review a systematic
Clinical Outcomes of Pediatric Patients With Acute Abdominal Pain and Incidental Findings of Free Intraperitoneal Fluid on Diagnostic Imaging
ORIGINAL RESEARCH Clinical Outcomes of Pediatric Patients With Acute Abdominal Pain and Incidental Findings of Free Intraperitoneal Fluid on Diagnostic Imaging Samantha Matz, DO, Mary Connell, MD, Madhumita
X-Plain Ovarian Cancer Reference Summary
X-Plain Ovarian Cancer Reference Summary Introduction Ovarian cancer is fairly rare. Ovarian cancer usually occurs in women who are over 50 years old and it may sometimes be hereditary. This reference
CASE-BASED SMALL GROUP DISCUSSION MHD II
MHD II, Session 11, Student Copy Page 1 CASE-BASED SMALL GROUP DISCUSSION MHD II Session 11 April 11, 2016 STUDENT COPY MHD II, Session 11, Student Copy Page 2 CASE HISTORY 1 Chief complaint: Our baby
Ovarian cyst, indigestion, constipation, back pain bloating
P ford residence southampton, ny Ovarian cyst, indigestion, constipation, back pain bloating Mar 15, 2017. 33-year-old Fiona thought her bloating and stomach cramps were normal digestion problems. She
RETROPERITONEAL ABSCESS FOLLOWING APPENDECTOMY: A CASE REPORT
Bulletin of the Transilvania University of Braşov Series VI: Medical Sciences Vol. 7 (56) No. 1-2014 RETROPERITONEAL ABSCESS FOLLOWING APPENDECTOMY: A CASE REPORT L. VIDA 1 A. MIRONESCU 1 Abstract: Retroperitoneal
CASE-BASED SMALL GROUP DISCUSSION MHD II SESSION VI. Friday, MARCH 20, 2015 STUDENT COPY
MHD II, Session VI, STUDENT Copy Page 1 CASE-BASED SMALL GROUP DISCUSSION MHD II SESSION VI Friday, MARCH 20, 2015 STUDENT COPY Resource for cases: ACP Medicine (Scientific American Medicine) - Vaginitis
Evidence Process for Abdominal Pain Guideline Research 11/16/2017. Guideline Review using ADAPTE method and AGREE II instrument 11/16/2017
Evidence Process for Abdominal Pain Guideline Research Guideline Review using ADAPTE method and AGREE II instrument Approximately 139 Potentially relevant guidelines identified in various resources* 59
Evaluation of Ultrasound and Alvarado Score Combination for the Diagnosis of Acute Appendicitis in Babylon Childrens
September, 2017 2017; Vol1; Issue8 http://iamresearcher.online Evaluation of Ultrasound and Alvarado Score Combination for the Diagnosis of Acute Appendicitis in Babylon Childrens Ahmed. S. Resheed Pediatric
Multimodal Approach for Managing Postoperative Ileus: Role of Health- System Pharmacists (ACPE program H01P)
1. In the normal gastrointestinal tract, what percent of nutrient absorption occurs in the jejunum? a. 20%. b. 40%. c. 70%. d. 90%. 2. According to Dr. Erstad, the four components of gastrointestinal control
Can constipation back pain stomach sensitive to touch
Can constipation back pain stomach sensitive to touch The Borg System is 100 % Can constipation back pain stomach sensitive to touch 29-3-2018 Abdominal pain, sensitive to touch and had a little back pain
Racial and Socioeconomic Disparities in Appendicitis
Racial and Socioeconomic Disparities in Appendicitis Steven L. Lee, MD Chief of Pediatric Surgery, Harbor-UCLA Associate Clinical Professor of Surgery and Pediatrics David Geffen School of Medicine at
Cecal Volvulus: Case Presentation and Review of CT Findings
August 2011 Cecal Volvulus: Case Presentation and Review of CT Findings Omar Pardesi, Harvard Medical School Year III Our Patient LD: History & Physical HPI: 28 y.o. female presents with diffuse abdominal
Ask EuroSafe Imaging. Tips & Tricks. Paediatric Imaging Working Group. Gonad shielding in pelvis radiography
Ask EuroSafe Imaging Tips & Tricks Paediatric Imaging Working Group Gonad shielding in pelvis radiography Claudio Granata (IRCCS Istituto Giannina Gaslini, IT) Joana Santos (ESTeSC-Coimbra Health School,
Defining incidence of intussusception (IS) in Bangladesh in preparation for a phase III trial of a new Rotavirus vaccine
Defining incidence of intussusception (IS) in Bangladesh in preparation for a phase III trial of a new Rotavirus vaccine Principal Investigator: Dr. K. Zaman Final Report June 1, 2007 1 This study was
Acute Abdomen. Nirav Patel MD, FACS Banner University Medical Center - Phoenix
Acute Abdomen Nirav Patel MD, FACS Banner University Medical Center - Phoenix ? Diffuse periumbilical with localization to RLQ + Nausea, anorexia, fevers - Diarrhea, emesis Exacerbated by movement, bumps
ALVARADO SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS
ALVARADO SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS *Md. Zikrullah Tamanna 1, Uzma Eram 2, Abdul Muthalib Hussain 3, ShafkatUllahKhateeb 4 and Badurudeen Mahmood Buhary 5 1 Emergency Department, King Fahad
Chronic Abdominal Pain in Children
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Chronic Abdominal Pain in Children. These podcasts are designed to give medical students an overview of key topics in
Differential diagnosis of acute appendicitis in female patients: value of the diagnostic tests
DEPARTMENT OF GENERAL SURGERY LITHUANIAN UNIVERSITY OF HEALTHCARE SCIENCES Differential diagnosis of acute appendicitis in female patients: value of the diagnostic tests MARIA PRADOS QUIRANTES FACULTY
Are adhesions the missing link" in unresolved SIBO? Financial Disclosures
Are adhesions the missing link" in unresolved SIBO? Larry Wurn, LMT, Research Chair Clear Passage Physical Therapy Belinda Wurn, PT, Clinical Director Financial Disclosures Owner, Clear Passage Physical
TOPICS. Wheezing/Asthma THE BEST PEDIATRIC LITERATURE THAT STILL AFFECT YOUR PRACTICE
THE BEST PEDIATRIC LITERATURE THAT STILL AFFECT YOUR PRACTICE Ghazala Q. Sharieff MD, MBA Wheezing/asthma Croup Immunizations and fever Appendicitis Complex febrile seizures Procedures Head Injury Zofran
Pediatric Imaging Spine MRI and Spine CT Test Request Tip Sheet
Pediatric Imaging Spine MRI and Spine CT MRI is almost always preferred over CT scan; if ordering CT, CLEARLY document why MRI is not appropriate. In cases of ongoing back pain, six weeks of conservative
Christopher Lau Kings County Hospital SUNY Downstate Medical Center February 24, 2011
Christopher Lau Kings County Hospital SUNY Downstate Medical Center February 24, 2011 37 year old male presented with 1 day history of abdominal pain Pain was diffuse but worst in the epigastric area No
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 8/27/2011 Radiology Quiz of the Week # 35 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
Cases For Teaching Second Year Medical Students. Head and neck and neuroanatomy. 2- What is the anatomical explanation for her symptoms?
Head and neck and neuroanatomy Case 1: (RECURRENT LARYNGEAL NERVE INJURY) A 35-year-old woman complains of a 2-month history of hoarseness of her voice and some choking while drinking liquids. She denies
Hysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy?
301.681.3400 OBGYNCWC.COM What is a hysterectomy? Hysterectomy Hysterectomy is surgery to remove the uterus. It is a very common type of surgery for women in the United States. Removing your uterus means
PATH Inflammation Module - Student Worksheet
PATH2220 - Inflammation Module - Student Worksheet Prof Jennet Harvey Dr Ben Dessauvagie Learning Outcomes By the end of the class, students will be able to: Learning Outcome 1: describe the inflammatory
Clinical Study Adhesive Intestinal Obstruction in Infants and Children: The Place of Conservative Treatment
International Scholarly Research Network ISRN Surgery Volume 2011, Article ID 645104, 4 pages doi:10.5402/2011/645104 Clinical Study Adhesive Intestinal Obstruction in Infants and Children: The Place of
Background. RUQ Ultrasound Normal, Recommend Clinical Correlation. Sohail R. Shah, MD, MSHA, FACS, FAAP Texas Children s Hosptial
RUQ Ultrasound Normal, Recommend Clinical Correlation Sohail R. Shah, MD, MSHA, FACS, FAAP Texas Children s Hosptial Background Incidence of pediatric gallbladder disease continues to rise U.S. Pediatric