DIAGNOSTIC VALUES OF ANAMNESIS AND PHYSICAL EXAMINATION FINDINGS IN ACUTE ABDOMINAL PAIN AND ACUTE APPENDICITIS IN CHILDREN ABSTRACT
Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça VitrinelABSTRACT
Material and Method: The causes of abdominal pain were determined in children who were presented with acute abdominal pain. The symptoms were divided in two groups according to their diagnosis as medical and surgical. Frequency of signs and symptoms accompanying to abdominal pain were compared between patients with acute appendicitis and patients with medical diagnosis. The frequency of the change in diagnosis and revisiting the emergency room within ten days upon previous discharge were evaluated.
Results: The study included 304 children with a mean age of 9.3±3.5 years, 254 patients (83.6%) had medical, 50 patients (16.4%) had surgical diagnosis. The most common surgical diagnosis was appendicitis (11.8%). Vomiting, right lower quadrant pain, tenderness, and rebound pain were the most commonly encountered symptoms and findings in acute appendicitis group compared to the medical diagnosis group (p<0.001). While all the patients diagnosed with appendicitis had at least two of these four findings, this ratio was lower in medical group (p<0.001). The frequency of return to emergency unit was 16.3% and change in diagnosis was 5.3%. It was reported that patients with appendicitis who were diagnosed at their second visit were more likely to have diarrhea (n=5, 13.9%).
Conclusions: Appendicitis should be considered in patients who present with any two of the following findings: vomiting, right low quadrant pain, tenderness, and rebound pain. It should be kept in mind that appendicitis might be accompanied by another systematic finding like diarrhea.
LIVER AND SYSTEMIC DISEASES
05-09Sebati Özdemir
REVIEW Nobel Med 2013; 9(2): 5-9AGING KIDNEY: SENESCENCE OR DISEASE?
10-14Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk
REVIEW Nobel Med 2013; 9(2): 10-14IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS
15-20Faruk Sönmezışık, Esma Sürmen Gür, Burak Asıltaş
RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER
21-25Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan
RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK
26-31Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı
RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT
32-37Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir
RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37REOPERATIONS AND MORBIDITY IN THYROID SURGERY
38-42Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin
RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY
43-46İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun
RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY
47-51İbak Gönen
RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES
52-56Ufuk Berber, İsmail Yılmaz, Tolga Tuncel, Zafer Küçükodacı Aptullah Haholu
RESEARCH ARTICLE Nobel Med 2013; 9(2): 52-56EVALUATION OF ONE YEAR RESPONSE OF TREATMENT NAIVE CHRONIC HEPATITIS B PATIENTS TO 245 MG/DAY TENOFOVIR DISOPROXIL FUMARATE
57-62Nazlım Aktuğ Demir, Servet Kölgelier, Lütfi Saltuk Demir, Şua Sümer, Nebahat Dikici, Serap Özçimen, Ahmet Çağkan İnkaya
RESEARCH ARTICLE Nobel Med 2013; 9(2): 57-62THE RELATIONSHIP OF BONE MINERAL DENSITY WITH CAROTID INTIMA-MEDIA THICKNESS AND HEMODYNAMICS
63-68Ramazan Büyükkaya, Selma Yazıcı, Beşir Erdoğmuş, Safinaz Ataoğlu, Mustafa Özşahin, Ayla Büyükkaya, Ömer Yazgan, Sibel Yazgan
RESEARCH ARTICLE Nobel Med 2013; 9(2): 63-68MICROBIOLOGICAL EXAMINATION OF BLACK MUSSELS (MYTILUS GALLOPROVINCIALIS) CAUGHT IN DARDANELLES
69-73Alper Şener, Neslihan Demir, Nesrin Çakıcı, Hasan Çakıcı, Hasan Kaya, Coşkun Bakar
RESEARCH ARTICLE Nobel Med 2013; 9(2): 69-73THE IMPORTANCE OF EXAMINING ANTINUCLEAR ANTIBODY (ANA) IN NEUROLOGICAL DISEASES
74-78Banu Özen Barut, Ufuk Emre, Ayşe Semra Demir, Aysun Ünal, İshak Tekin
RESEARCH ARTICLE Nobel Med 2013; 9(2): 74-78THE EFFICACY OF NUTRITIONAL AND INFLAMMATORY MARKERS IN LENGTH OF HOSPITAL STAY AND MORTALITY PREDICTION IN SEVERELY MALNOURISHED PATIENTS
79-85Osman Ekinci, Berna Terzioğlu, Seçkin Özgür Tekeli, Elvan Yılmaz, Turhan Çaşkurlu
RESEARCH ARTICLE Nobel Med 2013; 9(2): 79-85DIAGNOSTIC VALUES OF ANAMNESIS AND PHYSICAL EXAMINATION FINDINGS IN ACUTE ABDOMINAL PAIN AND ACUTE APPENDICITIS IN CHILDREN ABSTRACT
86-90Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça Vitrinel
RESEARCH ARTICLE Nobel Med 2013; 9(2): 86-90AN EVALUATION OF THE NECESSITY OF COMPUTED TOMOGRAPHY USED FOR THE CERVICAL SPINE ASSESSMENT OF THE PATIENTS WHO PRESENT WITH TRAUMA IN THE PEDIATRIC EMERGENCY DEPARTMENT
91-95Ahmet İmerci, Umut Canbek, Muhammet Bozoğlan, Ahmet Kaya, Levent Sürer, Hakan Korkmaz, Hüseyin Tamer Ursavaş
RESEARCH ARTICLE Nobel Med 2013; 9(2): 91-95THE EFFECT OF BOSENTAN ON PLASMA ISCHEMIA-MODIFIED ALBUMIN LEVELS IN ACUTE MESENTERIC ISCHEMIA
96-99Kamil Gülpınar, Süleyman Özdemir, Erpulat Öziş, Sinan Aydın, Atilla Korkmaz
RESEARCH ARTICLE Nobel Med 2013; 9(2): 96-99COULD APOMORPHINE BE AN EFFECTIVE TREATMENT OPTION FOR REFRACTORY TREMOR IN PARKINSON’S DISEASE? A PILOT STUDY
100-103Nilgün Çınar, Şevki Şahin, Sibel Karşıdağ
RESEARCH ARTICLE Nobel Med 2013; 9(2): 100-103EFFECTIVENESS OF ULTRASOUND IN THE TREATMENT OF SUBACROMIAL IMPINGEMENT SYNDROME
104-108Türkan Akın, Nil Sayıner Çağlar, Özer Burnaz, Özgü Kesmezacar
RESEARCH ARTICLE Nobel Med 2013; 9(2): 104-108PLASMA LEPTIN STATUS AND THE RELATIONSHIP BETWEEN DIFFERENT MEDICAL TREATMENTS USED IN ANKYLOSING SPONDYLITIS
109-113Mustafa Güler, Erhan Çapkın, Murat Karkucak, Teoman Aydın, Ayşegül Küçükali Türkyılmaz, Adem Karaca, Ferhat Gökmen, Ahmet Alver, Emine Poyraz
RESEARCH ARTICLE Nobel Med 2013; 9(2): 109-113A PILOT STUDY ABOUT QUALITY OF INFORMATION AT HEALTH RELATED IN TURKISH WEB SITES: MENISCUS TEAR
114-117Fatih Küçükdurmaz, Mahmut Nedim Aytekin, İbrahim Tuncay, Cengiz Şen
RESEARCH ARTICLE Nobel Med 2013; 9(2): 114-117TYPE-1 FRONTAL FIBROHYALINIZED PAROSTEAL (PERIOSTEAL) LIPOMA
118-121Betül Taş, Karaca Başaran, Özgür Pilancı, Mehmet Öncü, Mehmet Sar
REPORT Nobel Med 2013; 9(2): 118-121NON-STEROIDAL ANTI-INFLAMMATORY DRUG (NSAID)-RELATED COLOPATHY MIMICKING NEOPLASIA: CT FINDINGS
122-125Gülgün Engin, Dilek Şahin, Emre Balık
REPORT Nobel Med 2013; 9(2): 122-125A CASE OF SJOGREN’S SYNDROME ACCOMPANIED BY SIGNS OF NON-CARDIAC PULMONARY EDEMA AND INFECTION
126-129Şua Sümer, Pakize Başak Efe, Onur Ural, Sema Yılmaz
REPORT Nobel Med 2013; 9(2): 126-129ORD. PROF. DR. ERICH FRANK (1884-1957)
130-134Arın Namal
A PORTRAIT Nobel Med 2013; 9(2): 130-134LIVER AND SYSTEMIC DISEASES
05-09Sebati Özdemir
REVIEW Nobel Med 2013; 9(2): 5-9AGING KIDNEY: SENESCENCE OR DISEASE?
10-14Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk
REVIEW Nobel Med 2013; 9(2): 10-14IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS
15-20Faruk Sönmezışık, Esma Sürmen Gür, Burak Asıltaş
RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER
21-25Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan
RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK
26-31Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı
RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT
32-37Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir
RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37REOPERATIONS AND MORBIDITY IN THYROID SURGERY
38-42Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin
RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY
43-46İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun
RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY
47-51İbak Gönen
RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES
52-56Ufuk Berber, İsmail Yılmaz, Tolga Tuncel, Zafer Küçükodacı Aptullah Haholu
RESEARCH ARTICLE Nobel Med 2013; 9(2): 52-56-
Pubmed Style
Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça Vitrinel. [ÇOCUKLARDA AKUT KARIN AĞRISI VE AKUT APANDİSİT TANISINDA ANAMNEZ VE FİZİK MUAYENE BULGULARININ DEĞERİ]. Nobel Med 2013; 9(2): 86-90, Turkish. -
Web Style
Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça Vitrinel. [ÇOCUKLARDA AKUT KARIN AĞRISI VE AKUT APANDİSİT TANISINDA ANAMNEZ VE FİZİK MUAYENE BULGULARININ DEĞERİ]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish. -
AMA (American Medical Association) Style
Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça Vitrinel. [ÇOCUKLARDA AKUT KARIN AĞRISI VE AKUT APANDİSİT TANISINDA ANAMNEZ VE FİZİK MUAYENE BULGULARININ DEĞERİ]. Nobel Med 2013; 9(2): 86-90, Turkish. -
Vancouver/ICMJE Style
Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça Vitrinel. [ÇOCUKLARDA AKUT KARIN AĞRISI VE AKUT APANDİSİT TANISINDA ANAMNEZ VE FİZİK MUAYENE BULGULARININ DEĞERİ]. Nobel Med (2013); 9(2): 86-90, [cited Mayıs 24, 2021], Turkish. -
Harvard Style
Gülser Esen Besli, Suat Biçer, Özlem Kalaycık, Necmiye Keser, Şeyma Özkanlı, Coşkun Saf, Müferet Ergüven, Ayça Vitrinel. (2013) [ÇOCUKLARDA AKUT KARIN AĞRISI VE AKUT APANDİSİT TANISINDA ANAMNEZ VE FİZİK MUAYENE BULGULARININ DEĞERİ]. Nobel Med, 9(2): 86-90, Turkish.