Grand Rounds: Appendicitis in Children: Advantages of Alternate Pathway

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Topic: General Pediatric Medicine, Radiology/Medical Imaging

After viewing and reflecting on this presentation, the viewer should be able to:

  1. Review the incidence, means of diagnosis, morbidity and mortality of acute appendicitis and ruptured appendicitis in children.
  2. Describe the principle of the Alternate Pathway for Acute Appendicitis.
  3. Illustrate the CPG for evaluation of acute abdominal pain in children

To receive your CME credit for this activity:
After viewing and reflecting on this presentation in its entirety, click on "CME Post-Test" to take the post-test and evaluation. After submitting the online test/evaluation it will be submitted to Dayton Children's department of medical education. CME credit will be awarded upon successful completion of the post-test and evaluation.
*Participants should only claim the hours of participation.

Appendicitis in Children: Advantages of Alternate Pathway
- originally presented 4/20/11 (CME credit expires 4/20/14, reviewed on 4/11/13)
- View video below.  If you experience problems while viewing, click on Lo Res in upper right corner of video.

- Elizabeth Ey, MD - Associate Clinical Professor, WSU BSOM; Medical Director, Department of Radiology, Dayton Children’s; 
- Jeffrey Pence, MD - Associate Professor, Department of Surgery, WSU, BSOM; Department of Pediatric Surgery, Dayton Children’s


DISCLOSURE: All individuals in a position to influence to content of the educational material must disclose to learners any relevant financial relationships. Having an interest or affiliation with a corporate organization does not necessarily prevent the speaker from participating in the proposed CME activity.  It is the policy of the CME Committee to resolve any conflicts of interest prior to the presentation.

The following presenters/planning committee members have no financial arrangement or affiliation with a commercial entity:

Dawn Light, MD MPH                                                    Marvin Miller, MD
Thomas Sorauf, MD                                                      Craig Horn, MD
L. David Mirkin, MD                                                        Abiodun Omoloja, MD
Mary Ann Swank                                                            Elizabeth Ey, MD
Jeffrey Pence, MD


During the planning stages of this activity some of the planning committee members and/or faculty have declared a relative financial arrangement and/or affiliation with an organization that could affect a balance, independency, objectivity or scientific rigor for this CME activity.

The following describes the type of conflict and resolution that has occurred:

Sherman Alter, MD has grant research support from Merck, Sanofi Pasteur and is on the speakers bureau for Merck and GlaxoSmithKline

Robert Fink, MD has grant research support from Gilead, MPEX, CFF, INSMED and is on the speaker’s bureau for Merck.


Estimated time to complete:  1 hour
E-mail a question to Dr. Ey concerning this presentation.
Email a question to Dr. Pence concerning this presentation.

CME Test Online

CME Statement:

Wright State University (WSU) Boonshoft School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. WSU Boonshoft School of Medicine designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essentials and Policies of the Accreditation Council for Continuing Medical Education (ACCME). Wright State University Boonshoft School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The Children's Medical Center of Dayton/WSU Boonshoft School of Medicine take responsibility for the content, quality, and scientific integrity of this CME activity.

Commercial support guidelines:

If any activity is supported by funds from a commercial source such as a pharmaceutical company or an equipment manufacturer it is very important that the Standards for Commercial Support are followed. In general, commercial entities may support CME activities through unrestricted grants. A commercial supporter may not exert undue influence in the form of determining content, choosing speakers, directly paying honoraria to faculty or paying registration fees of attendees. An acknowledgement of any educational support from a commercial company must appear in program brochures, syllabi, and other program materials.


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