Non-Perforated Appendicitis Guideline

Patient presents to the ED with suspected appendicitis Antibiotics initiated in the ED with cefoxitin(clinda/gent if PCN allergy) once non-perforatedappendicitis is diagnosed ED work-up per protocol(Imaging should not be requested without examining patient first) Patient taken to OR for immediate appendectomy (within 24H of admission) When tolerating diet and pain controlled:discharge with NO antibiotics(can discharge home on POD0) Phone call follow-up or appointment In most patients, history, physical exam and ultrasound are sufficient for diagnosis. CT scan should be reserved for concerns of complicated appendicitis and diagnostic dilemmas (and should be discussed with a fellow or attending). Updated 2/2019