IOTW: Appendicitis with free fluid

Posted on: January 28, 2019, by :

This is 15 yo M with 9 hours of abdominal RLQ pain. Concern for perforated appendicitis on ACT from OSH. Txn to CNMC ED and found to have an enlarged appendix with surrounding free fluid. Ultimate pathology from OR showed no perforation so this surrounding free fluid represents inflammatory fluid.

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Joanna Cohen

Pediatric Emergency Medicine Attending/Director of Pediatric Ultrasound at Children's National Health System
Joanna is originally from NY where she attended medical school at Downstate in Brooklyn. She completed her pediatric residency at Johns Hopkins and made her way south to DC for PEM and ultrasound fellowships. She has remained in DC, making her home in Capitol Hill since 2005. She stays busy mostly attending youth soccer games with her three kids and running.
Joanna Cohen

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