Acute appendicitis Flashcards
1
Q
Features
A
mainly a condition of young adults (esp. 15–25 yrs)
but affects all ages (although uncommon under 3 yrs).
It is the commonest surgical emergency.
2
Q
Typical pain distribution
A
3
Q
Diagnosis
A
It is basically a clinical diagnosis.
FBE—leucocytosis: CRP ↑
Consider pelvic US in female patients.
US is 80–90% accurate for appendicitis but obesity or previous abdominal surgery affects accuracy.
CT scan (95% specificity) or MRI helpful.
4
Q
Management
A
Immediate referral for surgical removal.
If perforated cover with cefotaxime (or similar) and metronidazole.
