3.12 Appendicitis Flashcards
1
Q
What part of GIT does appendix sprout from?
A
from the caecum
2
Q
What age is the peak incidence of appendicitis?
A
10-20 years old
3
Q
Where is the abdomen most tender in appendicitis?
A
McBurney’s point
4
Q
Where is McBurneys point?
A
one third from ASIS to umbilicus
5
Q
How does the pain change in appendicitis?
A
move form central abdo pain, down into the RIF
6
Q
What is Rovsing’s sign?
A
Palpation of LIF cause pain in RIF
7
Q
What finings would you expect on examination?
A
- Rovsing’s sign
- guarding on palpation
- rebound tenderness
- percussion tenderness
- nausea and vomit
- loss of appetite
(rebound and percussion tenderness suggest peritonitis from ruptured appendix)
8
Q
How is appendicitis diagnosed?
A
- clinical presentation and raised inflammatory markers
- CT can confirm diagnosis
- US can exclude ovarian / gyne problem
9
Q
4 key differential in appendicitis?
A
- ectopic pregnancy: do serum or urin bHCG
- ovarian cysts (especially if they torsion)
- Meckels diverticulum (2% of population asymptomatic, can bleed, inflame, volvulus, intussusception)
- mesenteric adenitis (usually younger children post tonsillitis or URTI)
10
Q
Surgery is definitive management of appendicitis, what age can have adult surgeons?
A
Older than 10 yo can have adult surgeons
