TH5.9 Role of Ultrasound in Management of Acute Appendicitis

Abstract Aim Assess the outcomes of suspected appendicitis patients who had an abdo-pelvic ultrasound, and whether scan made a difference to their management. Method Cycle 1: we collected data retrospectively for confirmed admitted period betweeen 03/06/2021–01/09/2021. Clinical coding department supplied database EAU admissions diagnised with based on histology. 2: all surgical acute abdominal pain during between 1/11/2021–30/11/2021. Ultrasounds requested were provided by Radiology department. Admission summaries used assess patients' Intervention Presentation Audit results in departmental teaching, Teaching junior doctors NICE guidelines management Appendicitis. Results Out 60 patients, only 10 included as most CT scan. 25% which suggested different pathology. The appendix couldn't be visualised 75%. 83 23 appendicitis. Confirmed cases 4.34%, not visualized 86.96% NAD 8.70% (their final diagnosis discharge: Appendicitis). Other pathologies biliary, gynaecological post-op collections mostly correctly confirmed/denied. Conclusions Ultrasound was very informative Biliary pathology, Gynae Pathology, pathology like Hematoma, collection. However, terms appendicitis, it rare occurrence. Of diagnosed Appendicitis diagnosis, eighth US. didn't change plan majority