Acute appendicitis Flashcards

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1
Q

Appendicitis population

A

Lifetime risk males 12.5% women 25%
Most common 10 to 19
Most common non obstetrical surg in pregnancies

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2
Q

Causes of appendicitis

A

Obstruction of vermiform appendix, typically by a fecalith. Less frequently lymphatic tissue, gallstone, tumor, parasites

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3
Q

Atypical pain of appendicitis

A

Right flank or pelvic, LUQ RUQ in pregnancy

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4
Q

Clinical features of appendicits

A

Early - general malaise, indigestion, bowel irregularity, anorexia
Diarrhea, constipation, complete obstruction.
Subjective or objective fever
N/V, periumbilical pain
Further on - RLQ pain, dysuria, hematuria
Ruptured sometimes immediately relieves pain

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5
Q

Alvarado score

A

1 point for each of migration, anorexia, urinary acetone, rebound, fever
2 points for elevated WBC, and RLQ tenderness
1-4 low risk
possible or probably 5-9

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6
Q

Special populations

A

Old, retarded etc tend to present later with more diffuse symptoms
Pregnancies, serious. Could also be ovarian torsion and ectopic or heterotopic

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