How to diagnose whether a child suffering from acute appendicitis?

Q: how to diagnose whether a child suffering from acute appendicitis?
A: acute appendicitis, commonly known as appendicitis is the most common surgery in children with acute abdominal pain of the disease -.
Pediatric abdominal wall thinner, less able to resist inflammation, in the event of appendicitis, prone to necrosis, perforation, complicated by peritonitis. Therefore, in children with acute appendicitis should have full knowledge of their diagnose the main points are as follows:
1. Abdominal pain. At the beginning of umbilical later shifted to the right lower abdomen, for the continuity of abdominal pain, children tend to twist in order to alleviate the pain side;
2. Nausea, vomiting, loss of appetite, and so on;
3. Fever early response than adults, usually around 38 ℃, 39 ℃ more than necrosis, or perforation may occur; B strained abdominal muscle and abdominal tenderness, right lower quadrant tenderness is the main fixed and reliable body of the disease, children often accompanied by abdominal Resistance or tension.