appendicitis Flashcards

1
Q

pathophysiology

A

pathogen trapped due to obstruction at point where appendix meets bowel

leads to infection and inflammation which can proceed to gangrene and rupture

rupture releases faecal contents and infective material into peritoneal cavity –> peritonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

presentation

A
abdo pain: starts centrally then moves to RIF 
tender McBurney;s 
loss appetite
N+V
fever
rovsing's sign 
gaurding 
rebound tenderness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

McBurney’s point

A

one third distance from ASIS to umbiliccus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

key differential diagnoses

A

ectopic pregnancy
ovarian cyst
meckel’s diverticulum
mesenteric adenitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

abdo pain : F childbearing age

A

assume pregnant until proven otherwise with pregnancy test

serum HCG usually part of normal abdo pain blood panel inA&E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

appendix mass

A

occurs when omentum surrounds and sticks to inflammed appendix, forming RIF mass

manage conservatively with supportive treatment + antibiotics
appendicetomy once acute condition has resolved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Mx

A

appendicectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

complications of appendicectomy

A
bleeding, infection, pain, scars
damage to bladder, bowel 
removal normal apendix
anaethetic risks 
VTE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly