This week's VOTW is brought to you by Drs. Mark Calandra, Evan Mahl, and the Ultrasound Team (Drs. Jessie Chen and Lawrence Haines)!
HPI: 20 yo male with RLQ pain since last night with no associated symptoms.
Appendix POCUS anatomy review
You can usually find the appendix draping over the iliac vessels
Video/Image 1: Non-compressible structure, with “target sign”, >6 mm
Video/Image 2: Dilated, tubular structure with likely appendicolith
POCUS appendicitis criteria:
Noncompressible tubular structure
>6 mm
Other signs: “ring of fire” (w/color flow), edema in the area
Case conclusion: General surgery consulted and patient went to OR for surgery for acute appendicitis!
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