Current Approach to the Diagnosis and Emergency Department Management of Appendicitis in ChildrenLipsett, Susan C. MD; Bachur, Richard G. MDPediatric Emergency Care: March 2017 - Volume 33 - Issue 3 - p 198–203 doi: 10.1097/PEC.0000000000001049 CME Review Article Abstract Author Information Abstract: Concerns about radiation exposure have led to a decrease in the use of computed tomography in suspected appendicitis, with increased reliance on ultrasound. Children with suspected appendicitis should be risk stratified using a combination of clinical signs and symptoms, white blood cell count, and ultrasound in order to guide further evaluation and management. Magnetic resonance imaging is a promising imaging modality but remains costly. Ongoing research is evaluating the role of nonoperative management in children with confirmed appendicitis. Staff Physician (Lipsett) and Chief (Bachur), Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA. The authors and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interest in, any commercial organizations pertaining to this educational activity. Reprints: Susan C. Lipsett, MD, Division of Emergency Medicine, Boston Children’s Hospital, 300 Longwood Ave, Boston, MA 02115 (e-mail: Susan.Lipsett@childrens.harvard.edu). Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.