None listed
Conditions
Brief summary
The preschool children have had problem in diagnosis of appendicitis because of poor history taking and inappropriate response to physical examination. The leukocytosis with differential counts or C reactive protein as indicators of inflammation were not to predict further invasive evaluation like immediate computed tomography or intraabdominal sonography in acute abdomen. The hyperketonemia without past history of diabetes mellitus have been used a indicator to decide severity of illness for admission and treatment. So ketonuria was not qualified test for ketoacidosis, but it might be helpful. Therefore if preschool child had positive ketonuria and abdominal pain, then immediate computed tomography or abdominal ultrasonography should be done to rule out surgical diseases like appendicitis. And urinalysis should be absolutely neccesory procedure in emergency room.
Interventions
urinalysis in emergency room as initial laboratory (within 1 hour after visiting emergency room)
Sponsors
SeongRyul Ryu
Eligibility
Sex/Gender
All
Age
2 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
1. preschool children 2. did urinalysis with first voiding urine in emergency room 3. no history of diabetes mellitus 4. confirmed appendicitis
Exclusion criteria
1. history of diabetes mellitus 2. urinalysis was done at other place or not first voiding urine 3. urinalysis was done after a period of observation to do repeated examination 4. no urinalysis 5. negative appendectomy
Outcome results
None listed