Increasing concerns have been raised over the past several years regarding the degree of radiation exposure in patients being evaluated for abdominal complaints. A deepening body of literature supports the use of ultrasound for the evaluation of appendicitis. In particular, ultrasound is being promoted as first line testing in the evaluation of appendicitis in pediatric populations and adults with BMI < 25. This approach reduces the risks related to radiation exposure and IV contrast dye. Unfortunately, in many practice settings, the availability of radiology-based sonographers is limited and there can be significant delays in obtaining ultrasound images. For these reasons, many ED physicians (EP) have begun to perform bedside ultrasound to evaluate for appendicitis.