Appendicitis tests in children

It seems that this one slipped under the radar, when we originally published it… Because I followed it with a tongue-in-cheek summary post about the (lack of) utility of tests for appendicitis, and did not leave enough of a gap between the two posts, iTunes only picked up the abbreviated jokey version, leaving the original PEMcast undiscovered by many… So here it is again, for the benefit...

March 22nd, 2013 by colinparker 

Intussusception

Intussusception is a ‘telescoping’ of the bowel on itself, commonest in infants between 5 and 10 months of age.  Usually, the classic triad of abdominal pain, vomiting and red-currant-jelly stools is not present, so how do we diagnose this sneaky little condition? In this episode, we explore the clinical presentation, investigation and management of this bowel-threatening condition. ...

September 22nd, 2011 by colinparker 

Appendicitis: Improving Diagnostic Accuracy

Appendicitis is the most common surgical condition in children, and an important condition not to miss.  Can we use clinical features, scoring systems, blood tests or radiological investigations to improve our diagnostic accuracy? In this episode we put the diagnostic process under the microscope and try to figure out the most helpful symptoms, signs and tests to confirm or exclude appendicitis. ...

February 10th, 2011 by colinparker 

Abdominal Pain in Children

Belly pain is a very common Paediatric ED presentation, so how do we sort the plain old tummy-ache from the more serious causes?  Common conditions like gastroenteritis and constipation can mimic more significant diagnoses such as appendicitis and intussusception. In this PEMcast we take a quick tour through the causes of abdominal pain in children. To listen, click below or subscribe via iTunes...

January 27th, 2011 by colinparker