Original contributionPlain abdominal radiography in the detection of major disease in children: A prospective analysis
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Cited by (44)
Pediatric abdominal radiograph use, constipation, and significant misdiagnoses
2014, Journal of PediatricsCitation Excerpt :However, even the presence of constipation on AXR did not reduce the likelihood of a significant alternative diagnosis. These findings concur with 2 previous studies in which AXR findings were more often misleading than helpful.26,27 An additional study reported that amongst 1000 ED patients with abdominal pain, AXR findings never resulted in a change from the initial diagnostic clinical impression.28
An update on common gastrointestinal emergencies
2013, Emergency Medicine Clinics of North AmericaCitation Excerpt :Previously, a calcified appendicolith identified on plain film was considered diagnostic. More recent studies have demonstrated appendicoliths in only 13% to 22% of cases with appendicitis and 1% to 2% of cases without appendicitis.46,61,62 As a result of its limited utility, evidenced-based guidelines suggest the use of plain radiographs only when the patient’s presentation is concerning for bowel obstruction, free air, mass, or nephrolithiasis.63
Imaging Evaluation of Bowel Obstruction in Children: Updates in Imaging Techniques and Review of Imaging Findings
2012, Seminars in RoentgenologyCitation Excerpt :If obtained indiscriminately, abdominal radiographs are low-yield diagnostic examinations, with only 2%-20% of studies demonstrating a definite abnormality.2-4 However, in cases where there are specific clinical indicators suggesting bowel obstruction, foreign body ingestion, or active peritonitis, abdominal radiograph remains a useful initial imaging study with a much higher diagnostic yield.4,5 Because of the wide availability of conventional radiography, abdominal radiograph often represents the initial imaging modality of choice in pediatric patients with clinically suspected bowel obstruction.
Pediatric gastrointestinal disorders and dehydration
2011, Emergency Medicine SecretsPediatric gastrointestinal disorders and dehydration
2010, Emergency Medicine SecretsAcute Abdomen in Pediatric Patients Admitted to the Pediatric Emergency Department
2008, Pediatrics and Neonatology
Presented at the American College of Emergency Physicians Scientific Assembly in Boston, Massachusetts, October 1991.