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Children & Appendicitis
- Vomiting may be the first sign.
- Children may not experience anorexia and may actually request food.
- Most young children have perforation at the time of diagnosis.
- Children younger than 2 years of age may have generalized symptoms such as irritability and tachypnea.
- Ultrasonography is useful in evaluation of thin children but is very operator dependent.
- CT with oral contrast and i.v. contrast may be needed to differentiate intraabdominal structures in thin children