Pediatric appendicitis scoring systems should use age-adjusted WBC cutoffs.

Surgery is a definitive treatment for appendicitis with a low complication and failure rate.  Medical therapy is an option, though >25% of patients will eventually need surgery.

Narrow or broad spectrum antibiotic choice has little impact on pediatric appendicitis outcome.  Broader coverage may, in fact, be worse.

Swallowed press-through package sheets can pose a serious risk for kids.

The diagnostic performance of WBC and ANC for appendicitis varies with age in kids.