Clinical scenario

A 18 yo man comes to the ED in the morning because of low abdominal pain,fever and nausea. At palpation there is mild pain in the right inferior quadrant,not guarding.

Could procalcitonin (PTC) helps to exclude quickly an acute appendicitis?

 

 

Conclusion
The figures are clear. We cannot use the PCT to rule out an acute appendicitis, but it could be useful  to identifypatients that may have
complicated appendicitis.
In previous post we have pointed out the poor utility of signs and symptoms
alone to screen patients with or withoutan acute appendicitis.
It’s the same for laboratory tests.
Bibliography
M. Sand
A prospective bicenter study investigating the diagnostic value of procalcitonin in patients
with acute appendicitis.
Eur Surg Res 2009; 43 291-297
JY Wu
Diagnostic role of procalcitonin in patients with suspected appendicitis.
World J Surg 2012 Aug 36 (8) 1744-1749
 Ciro Paolillo

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