Abstract
Objective To investigate the features of physical diagnosis for acute appendicitis in the children of different age periods. Methods Four hundred and thirty-one cases with acute appendicitis (postoperative diagnosis) were enrolled in this study, and divided into newborn, infant, preschool, and school age-groups.The clinical physical diagnosis of each group was retrospectively analyzed to summarize the features. Results Three newborns(accounting for about 0.70%) were characterized by abdominal distention, bad spirit, weak bowel sounds, and so on.Thirty-one infants′ (7.19%) physical diagnosis were mainly percussion pain, positive speed humps test, rebound tenderness.The features of preschool group (162 cases, 37.59%) were mainly percussion pain, rebound tenderness, bowel sounds changing.The features of school age group (235 cases, 54.52%) were principally percussion pain, speed humps test positive, rebound tenderness. Conclusions There are discrepancies between four age-groups in the features of acute appendicitis.Detailed and accurate physical diagnosis can provide important diagnostic evidences of acute appendicitis in children. Key words: Child; Appendicitis; Physical examination; Diagnosis
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