Apendicitis aguda
DOI:
https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v36i4.638Palabras clave:
apendicitis, puntaje (score) de Alvarado, reglas de predicción clínica, tratamiento antibiótico, incidencia de perforaciónResumen
Con el uso de las imágenes de creciente sensibilidad, el número de pacientes con diagnóstico de apendicitis ha aumentado, y una significativa proporción de ellos puede no progresar a apendicitis clínicamente relevante o puede resolver espontáneamente y evitar la apendicectomía. Existen reglas de predicción clínica que, sumadas a la tomografía computarizada o la ecografía, pueden tener una sensibilidad y especificidad significativamente altas tanto para descartar como para confirmar el diagnóstico. Los antibióticos deben ser considerados una válida opción terapéutica y su uso, discutido con los pacientes
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Derechos de autor 2016 Revista del Hospital Italiano de Buenos Aires
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
