CME Review ArticleCurrent Approach to the Diagnosis and Emergency Department Management of Appendicitis in ChildrenLipsett, Susan C. MD; Bachur, Richard G. MDAuthor Information 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: [email protected]). Pediatric Emergency Care: March 2017 - Volume 33 - Issue 3 - p 198-203 doi: 10.1097/PEC.0000000000001049 Buy Take the CME Test Metrics 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. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.