title: Point-of-Care Ultrasonography for Appendicitis Uncovers Two Alternate Diagnoses.
abstract: We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate diagnoses. This article highlights a role for point-of-care ultrasound in the diagnoses of two alternate conditions that clinically mimic appendicitis: Meckel diverticulitis and acute ileocecitis. We offer a brief overview of terminology, relevant literature, and ultrasound scanning technique for the right-lower-quadrant point-of-care ultrasound evaluation.
authors.affiliation: From the *Division of Pediatric Emergency Medicine, UCSF Benioff Children's Hospital at San Francisco, San Francisco, CA; and †Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Division of Emergency Ultrasound, New York Methodist Hospital Brooklyn, NY.
authors.forename: Aaron E
authors.initials: AE
authors.lastname: Kornblith
authors.forename: Stephanie J
authors.initials: SJ
authors.lastname: Doniger
mesh_terms: D000293:Adolescent; D001064:Appendicitis / Q000000981:diagnostic imaging* / Q000601:surgery; D002675:Child, Preschool; D003424:Crohn Disease / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D010372:Pediatrics; D019095:Point-of-Care Systems; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000379:methods*