Acute Appendicitis and Peritonitis Flashcards

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1
Q

Appendix most common position is _____________ which is 64%

A

retrocecal

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2
Q

Pelvic position of appendix rate is ______%

A

32

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3
Q

Subcecal position of appendix rate is ______%

A

2%

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4
Q

Preileal position of appendix rate is ______%

A

1%

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5
Q

Postileal position of appendix rate is ______%

A

0.5

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6
Q

What is Mcburneys’s point?

A

a point that lies one-third of the distance laterally on a line drawn from the umbilicus to the right anterior superior iliac spine

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7
Q

Acute appendicitis is most common in

a. Adolescents and young females
b. Adolescents and young males
c. Middle aged women
d. Elderly males

A

Adolescents and young males

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8
Q

The pain of acute appendicits starts from _________ (umbilicus/ASIS)

A

umbilicus

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9
Q

the pain of acute appendicitis radiates toward __________?

A

right ASIS

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10
Q

DDs of pain like appendicitis?

A
lymphadenitis
viral enterocolitis
acute salpingitis
ectopic pregnancy
mittleschmerz
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11
Q

In preschool children, acute appendicitis presents late which can be asso. w/ ___________ or an appendix mass.

A

perforation

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12
Q

Patients w/ signs and symptoms of appendicits for ____ (>48 hrs/>24 hrs) are more likely to perforate.

A

> 48 hrs

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13
Q

_______ of patients have fecaliths in appendix

A

50%

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14
Q

Rate of perforation is ________ (higher/lower) in children

A

higher

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15
Q

Rate of perforation is 82% w/ __________ (<5 yrs old/infants)

A

<5 years old

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16
Q

Rate of perforation is 100% w/ __________ (<5 yrs old/infants)

A

infants

17
Q

What are the complications of Acute appendicitis if it ruptures?

A

Peritonitis
Small bowel obstruction
Abscess formation
Supportive thrombosis

18
Q

What leads to perforation of appendicitis?

A

Vascular thrombosis and Ischemic necrosis

19
Q

What are other dangerous signs of acute appendicitis?

A
Hypotension
Oligouria
Acidosis
High grade fever
Dehydration
20
Q

___________ infiltration of the muscularis propria is diagnostic feature of acute appendicitis

A

Neutrophilic infiltrate