Appendicitis
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Pediatric Appendicitis Score
( Low risk < 4, High Risk > 6 )

Migration of pain to RLQ - 1
Fever- 1

Cough / percussion or hopping tenderness  - 2
RLQ Tenderness - 2

Nausea / Vomiting - 1
Anorexia - 1

W > 10,000 - 1
ANC > 7500 - 1
Preoperative Antibiotics

  • Ceftrioxone and Metronidazole

  • or in case of cephalosporin allergy
      Ciprofloxacin and metronidazole

  • or in case of unwell patient with other risk
    factors
      Zosyn - Piperacillin / Tazobactam