Appendicitis in children

A total of 145 senior emergency medicine physicians from 13 hospitals in Australia and New Zealand were asked to identify which aspects of history, examination and investigations were most consistent with a diagnosis of appendicitis. They were also given two clinical scenarios and asked to choose their most likely management plan.

More than 50% of doctors thought blood tests for leukocytosis and neutrophil count – integral to published diagnostic scoring systems – were not relevant in the diagnosis of patients with possible appendicitis.

While many agreed that certain signs and symptoms were valuable,