Fast Five Quiz: Appendicitis Diagnosis and Treatment

Richard H. Sinert, DO

Disclosures

March 13, 2019

According to the ACR, CT of the abdomen and pelvis with IV contrast is usually appropriate in patients with RLQ pain, fever, and leukocytosis with suspected appendicitis. The following may be appropriate, depending on other factors:

  • Ultrasonography of the abdomen

  • MRI of the abdomen and pelvis without and with IV contrast

  • Ultrasonography of the pelvis

  • MRI of the abdomen and pelvis without IV contrast

The following are usually not appropriate in these patients:

  • CT scan of the abdomen and pelvis without and with IV contrast

  • Radiography of the abdomen

  • Fluoroscopy contrast enema

  • Tc-99m WBC scanning of the abdomen and pelvis

Read more on the imaging studies used to diagnose appendicitis.

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