Appendicitis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Appendicitis | Appendicitis must be differentiated from other causes of abdominal pain such as acute [[gastroenteritis]] and luminal obstruction. In children, appendicitis should be differentiated from [[mesenteric adenitis]], [[Meckel's diverticulum]], [[intussusception]], [[Henoch-Schõnlein purpura]], and [[lobar pneumonia]]. In adults, appendicitis should be differentiated from [[renal colic]], [[perforated peptic ulcer]], [[testicular torsion]], [[pancreatitis]], [[pelvic inflammatory disease]], [[ectopic pregnancy]], [[endometriosis]], and [[torsion/rupture of ovarian cyst]]. Appendicitis in elderly patients must be differentiated from [[diverticulitis]], [[intestinal obstruction]], [[colonic carcinoma]], [[mesenteric infarction]], and leaking [[aortic aneurysm]]. | ||
==Differentiating Appendicitis from other Diseases== | ==Differentiating Appendicitis from other Diseases== | ||
Revision as of 18:07, 2 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Appendicitis must be differentiated from other causes of abdominal pain such as acute gastroenteritis and luminal obstruction. In children, appendicitis should be differentiated from mesenteric adenitis, Meckel's diverticulum, intussusception, Henoch-Schõnlein purpura, and lobar pneumonia. In adults, appendicitis should be differentiated from renal colic, perforated peptic ulcer, testicular torsion, pancreatitis, pelvic inflammatory disease, ectopic pregnancy, endometriosis, and torsion/rupture of ovarian cyst. Appendicitis in elderly patients must be differentiated from diverticulitis, intestinal obstruction, colonic carcinoma, mesenteric infarction, and leaking aortic aneurysm.
Differentiating Appendicitis from other Diseases
Since appendicitis presents as the general symptom of abdominal pain, appendicitis must be differentiated from other diseases and disorders causing similar pain and symptoms. This differentiation can be done according to age group:
In Children
- Gastroenteritis
- Mesenteric adenitis
- Meckel's diverticulum
- Intussusception
- Henoch-Schõnlein purpura
- Lobar pneumonia
In Adults
- Regional enteritis
- Renal colic
- Perforated peptic ulcer
- Testicular torsion
- Pancreatitis
- Rectus sheath hematoma
- Pelvic inflammatory disease
- Ectopic pregnancy
- Endometriosis
- Torsion/rupture of ovarian cyst
- Ruptured Graafian follicle
In the Elderly
- Diverticulitis
- Intestinal obstruction
- Colonic carcinoma
- Mesenteric infarction
- Leaking aortic aneurysm
Other Causes Mimicking Appendicitis at any Age
In general: [1]
- Acute Gastroenteritis
- Luminal obstruction caused by:
- Barium
- Fecaliths
- Foreign body
- Fruit seeds
- Hypertrophy of the lymphatic tissue
- Parasites
- Stricture
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:40 ISBN 1591032016