Appendicitis Flashcards
1
Q
When is peak incidence?
A
10-20 years
2
Q
Presentation?
A
Central abdo pain moving to RIF in first 24 hours
anorexia
N+V
Fever
3
Q
What are signs on examination?
A
Rovsing’s sign - palpation of LIF causes pain of RIF
Tenderness at McBurney’s point
Guarding
Rebound tenderness in RIF
Percussion tenderness
4
Q
What investigations?
A
Bloods
USS
CT
5
Q
What are differentials?
A
Ectopic pregnancy
Ovarian cysts
Meckel’s diverticulum
Mesenteric adenitis
6
Q
What is Meckels diverticulum
A
Malformation of the distal ileum
Usually asymptomatic but can bleed, become inflamed or rupture
7
Q
What is mesenteric adenitis
A
Inflamed abdo LN
Often associated with tonsillitis or URTI
