Appendicitis

Question 1

Locate McBurney’s point

Answer 1

1/3rd distance ASIS —> umbilicus

Question 2

Pain in McBurney’s point is worse on

Answer 2

Coughing

Question 3

Abdominal symptoms of appendicitis (think tenderness & palpitation)

Answer 3

• rebound tenderness
• percussion tenderness
• guarding on abdominal palpitation

Question 4

Pain progression in appendicitis

Answer 4

Starts central —> RIF

Question 5

GI causes of appendicitis that are due to obstruction

Answer 5

• fecalith

- lymphoid hyperplasia

Question 6

Why does mucus build up in GI tract lead to appendicitis

Answer 6

++ pressure on appendix

Question 7

Bacterial causes of appendicitis

Answer 7

E. coli

Question 8

Vessel damage causes of appendicitis

Answer 8

• compression

- ischaemia

Question 9

Rovsing’s sign in appendicitis is pain in right iliac fossa when palpating

Answer 9

Lower left quadrant

Question 10

VBG in appendicitis shows

Answer 10

Lactate

Question 11

Urine sample in females can show … in the presence of appendicitis

Answer 11

HCG

Question 12

Ultrasound used to exclude

Answer 12

Renal calculus

Question 13

Molecules tested positive in urine drip

Answer 13

Leukocytes

Question 14

Why does CXR have to be erect when screening for appendicitis

Answer 14

Exclude proferation

Question 15

Why is USS carried out in females

Answer 15

Exclude ovarian/gyno problems

Question 16

Gold standard test + tx in appendicitis

Answer 16

Diagnostic laparoscopy

Question 17

Why is laparoscopic appyndictomy more preferable to laparotomy

Answer 17

Fewer risks

Question 18

Dealing with bacterial infections

Answer 18

• drain abscess

- IV Abx (24 hrs)

Question 19

Complication of appendicitis rupturing that causes pyrexia

Answer 19

Peritonitis

Question 20

what are patients given prior to appendectomy

Answer 20

IV Abx