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Hi, need to submit a 1500 words paper on the topic Understanding Evidence-Based Practice Effect of PET vs. CT SCAN in Diagnosing Appendicitis.

Hi, need to submit a 1500 words paper on the topic Understanding Evidence-Based Practice Effect of PET vs. CT SCAN in Diagnosing Appendicitis. The PICO question developed is, “In children suffering from appendicitis, is a PET more effective in confirming the diagnosis versus the CT scan?” The PICO question is a relevant question as it intends to address the challenge to most of the physicians in diagnosing acute appendicitis. Garcia-Peña, Cook & Mandl (2004) stated that diagnosing appendicitis in children is quite difficult as it poses similarities of initial presentation to other childhood diseases (p. 24). There are a lot of diagnostic tools developed to early confirm the suspected diagnosis but these diagnostic tools differ in accuracy and effectivity, such as the PET and the CT scan. I came up with this PICO question because I noticed that physicians are ordering CT scan first to be followed by PET if CT scan is negative. Therefore, the proposed PICO question will seek to determine the most confirmative diagnostic tool for appendicitis among children by determining the number of incorrect/missed diagnosis.

Typing words such as “PET Imaging,” “CT scan,” and “appendicitis were the searching techniques that I used in searching for the evidence in my propose PICO question. Cochrane, Medline, and PubMed databases were utilized in the study. Search is narrowed by typing “imaging appendicitis.” The articles that I chose were: Can Computed Tomography Scan be Performed Effectively in the Diagnosis of Acute Appendicitis without the Added Morbidity of Rectal Contrast? (2008). Selective Imaging Strategies for the Diagnosis of Appendicitis in Children (2004). FDG Positron Emission Tomography/Computed Tomography Studies of Wilm’s Tumor (2010). and Computerized Tomography Utilization in Children with Appendicitis – Differences in Referring and Children’s Hospitals (2011).

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