Appendiceal Disease Flashcards

1
Q

What is the classic presentation of appendicitis?

A

Umbilical pain that migrates to the RIF at McBurney’s point

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2
Q

Where is McBurney’s point?

A

1/3 of the way between ASIS and umbilicus

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3
Q

Why does the pain of appendicitis shift from umbilicus to RIF?

A

Appendix is a midgut structure -> umbilical pain

As it irritates peritoneum, pain will spread to RIF

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4
Q

What is Rosving’s sign?

A

Pressing in the LIF and suddenly removing your hand will cause pain in the RIF

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5
Q

What score range on the MANTREL score makes appendicitis likely?

A

Score of 7-10

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6
Q

What is the common treatment for appendicitis?

A

Laparoscopic appendectomy

+ analgesia + antibiotics

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7
Q

Which type of inflammation occurs in appendicitis?

A

Neutrophilic inflammation involving muscle coat

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8
Q

Which appendiceal tumour arises from the crypts of Lieberkuhn?

A

Carcinoid tumour

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9
Q

If a carcinoid tumour of appendix is less than 1cm, appendectomy would be done alone. True/False?

A

True

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