Suggested Algorithm for the Approach to the Patient with Possible Appendicitis

Suggested Algorithm for the Approach to the Patient with Possible Appendicitis

Suggested Algorithm for the Approach to the Patient with Possible Appendicitis Appendicitis Appendicitis

«Flowchart»

General approach to the patient with suspected appendicitis

General approach to the patient with suspected appendicitis

General approach to the patient with suspected appendicitis

Follow algorithm for delayed presentation

Follow algorithm for delayed presentation

Follow algorithm for delayed presentation

Appendicitis suspected clinically

Appendicitis suspected clinically

Appendicitis suspected clinically

Symptoms for <48 h

Symptoms for <48 h

Symptoms for <48 h

Symptoms for >48 h

Symptoms for >48 h

Symptoms for >48 h

End

End

End

Male

Male

Male

Female

Female

Female

Laparoscopic appendectomy

Laparoscopic appendectomy

Laparoscopic appendectomy

Classic presentation
Localized peritonitis

Classic presentation
Localized peritonitis

Classic presentation

Equivocal presentation

Equivocal presentation

Equivocal presentation

Treat as indicated

Treat as indicated

Treat as indicated

Lap appendectomy

Lap appendectomy

Lap appendectomy

CT

CT

CT

(+) for appendicitis

(+) for appendicitis

(+) for appendicitis

(–) for appendicitis

(–) for appendicitis

(–) for appendicitis

Other diagnosis

Other diagnosis

Other diagnosis

Discharge

Discharge

Discharge

Diagnostic laparoscopy

Diagnostic laparoscopy

Diagnostic laparoscopy

Brief observation

Brief observation

Brief observation

No improvement

No improvement

No improvement

Improving

Improving

Improving

Follow pregnancy algorithm

Follow pregnancy algorithm

Follow pregnancy algorithm

Pregnant

Pregnant

Pregnant

Yes

Yes

Yes

No

No

No

Lap appendectomy

Lap appendectomy

Lap appendectomy

Treat as indicated

Treat as indicated

Treat as indicated

CT

CT

CT

(+) for appendicitis

(+) for appendicitis

(+) for appendicitis

(–) for appendicitis

(–) for appendicitis

(–) for appendicitis

Other diagnosis

Other diagnosis

Other diagnosis

Diagnostic laparoscopy

Diagnostic laparoscopy

Diagnostic laparoscopy

Discharge

Discharge

Discharge

Brief observation

Brief observation

Brief observation

No improvement

No improvement

No improvement

Improving

Improving

Improving