Acute Appendicitis and Peritonitis Flashcards
Appendix most common position is _____________ which is 64%
retrocecal
Pelvic position of appendix rate is ______%
32
Subcecal position of appendix rate is ______%
2%
Preileal position of appendix rate is ______%
1%
Postileal position of appendix rate is ______%
0.5
What is Mcburneys’s point?
a point that lies one-third of the distance laterally on a line drawn from the umbilicus to the right anterior superior iliac spine
Acute appendicitis is most common in
a. Adolescents and young females
b. Adolescents and young males
c. Middle aged women
d. Elderly males
Adolescents and young males
The pain of acute appendicits starts from _________ (umbilicus/ASIS)
umbilicus
the pain of acute appendicitis radiates toward __________?
right ASIS
DDs of pain like appendicitis?
lymphadenitis viral enterocolitis acute salpingitis ectopic pregnancy mittleschmerz
In preschool children, acute appendicitis presents late which can be asso. w/ ___________ or an appendix mass.
perforation
Patients w/ signs and symptoms of appendicits for ____ (>48 hrs/>24 hrs) are more likely to perforate.
> 48 hrs
_______ of patients have fecaliths in appendix
50%
Rate of perforation is ________ (higher/lower) in children
higher
Rate of perforation is 82% w/ __________ (<5 yrs old/infants)
<5 years old
Rate of perforation is 100% w/ __________ (<5 yrs old/infants)
infants
What are the complications of Acute appendicitis if it ruptures?
Peritonitis
Small bowel obstruction
Abscess formation
Supportive thrombosis
What leads to perforation of appendicitis?
Vascular thrombosis and Ischemic necrosis
What are other dangerous signs of acute appendicitis?
Hypotension Oligouria Acidosis High grade fever Dehydration
___________ infiltration of the muscularis propria is diagnostic feature of acute appendicitis
Neutrophilic infiltrate
