Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Computed Tomography01:10

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Sphingosine kinase-2 inhibition promotes immunogenic differentiation of myeloid-derived suppressor cells through an Acetyl-CoA carboxylase-phosphatidylcholine axis.

Nature communications·2026
Same author

Hybrid type 1 randomized controlled trial of technology-assisted stepped care behavioral health intervention for caregivers and children following pediatric traumatic injury.

Contemporary clinical trials·2026
Same author

Implementation and Effectiveness of an Enhanced Recovery Protocol for Children Undergoing Surgery: The ENRICH-US Stepped-Wedge Cluster-Randomized Trial.

JAMA surgery·2026
Same author

Consensus-based criteria for actionable hemorrhage in pediatric trauma: A Delphi study.

The journal of trauma and acute care surgery·2026
Same author

Editor's Note: Cell Cycle-Dependent and Schedule-Dependent Antitumor Effects of Sorafenib Combined with Radiation.

Cancer research·2026
Same author

A multicenter analysis of a two-tier triage system for serious injuries, morbidity, and mortality in pediatric patients following blunt trauma.

The journal of trauma and acute care surgery·2026
Same journal

Etiologic Diversity and Diagnostic Yield of Multiplex PCR in Children With Bloody Diarrhea: A Prospective Study in a Pediatric Emergency Department.

Pediatric emergency care·2026
Same journal

Pediatric Behavioral Health Emergencies Before, During, and After the COVID-19 Pandemic.

Pediatric emergency care·2026
Same journal

Evaluating the Accuracy of Chest Tube Thoracostomy Site Selection by Pediatric Emergency Medicine Physicians Using Point-of-Care Ultrasound.

Pediatric emergency care·2026
Same journal

Implementing the National Pediatric Readiness Project in Community Emergency Departments: A CFIR 2.0-Guided Qualitative Study of Academic Medical Center Partner Perceptions.

Pediatric emergency care·2026
Same journal

Ultrasound-Guided Nerve Blocks in Pediatric Emergency Medicine: A Scoping Review of the Published Literature.

Pediatric emergency care·2026
Same journal

Hypodermoclysis for Fluid Administration in Hospitalized Pediatric Patients: A Scoping Review.

Pediatric emergency care·2026
See all related articles

Related Experiment Video

Updated: May 12, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
03:19

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Clinical practice guidelines for pediatric appendicitis evaluation can decrease computed tomography utilization while

W Scott Russell1, Abigail M Schuh, Jeanne G Hill

  • 1Division of Pediatric Emergency Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA. mail: ruscott@musc.edu

Pediatric Emergency Care
|April 25, 2013
PubMed
Summary
This summary is machine-generated.

Implementing a new guideline for appendicitis evaluation in children significantly reduced computed tomography (CT) scan use by 41%. This change improved imaging efficiency without impacting diagnostic accuracy or negative appendectomy rates.

Related Experiment Videos

Last Updated: May 12, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
03:19

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Area of Science:

  • Pediatric emergency medicine
  • Radiology
  • Surgical outcomes

Background:

  • Computed tomography (CT) scans are frequently used for diagnosing appendicitis in children.
  • Overutilization of CT scans raises concerns regarding radiation exposure and healthcare costs.

Purpose of the Study:

  • To evaluate the impact of a clinical practice guideline on CT scan utilization for pediatric appendicitis.
  • To assess changes in diagnostic accuracy and negative appendectomy rates after guideline implementation.

Main Methods:

  • A multidisciplinary team developed a clinical pathway for pediatric abdominal pain evaluation.
  • CT scan utilization rates were compared before and after the guideline's implementation.

Main Results:

  • CT scan use for appendectomy patients decreased by 41% post-guideline implementation.
  • The negative appendectomy rate remained stable (5.7% pre- vs. 5.2% post-implementation).
  • CT use in patients transferred from outside hospitals decreased by 76%.

Conclusions:

  • A clinical pathway emphasizing early surgical consultation and ultrasound can significantly reduce CT scan reliance for pediatric appendicitis.
  • This approach maintains diagnostic accuracy and avoids an increase in negative appendectomies.