Appendicitis Flashcards

1
Q

When is peak incidence?

A

10-20 years

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2
Q

Presentation?

A

Central abdo pain moving to RIF in first 24 hours
anorexia
N+V
Fever

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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

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4
Q

What investigations?

A

Bloods
USS
CT

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5
Q

What are differentials?

A

Ectopic pregnancy
Ovarian cysts
Meckel’s diverticulum
Mesenteric adenitis

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6
Q

What is Meckels diverticulum

A

Malformation of the distal ileum
Usually asymptomatic but can bleed, become inflamed or rupture

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7
Q

What is mesenteric adenitis

A

Inflamed abdo LN
Often associated with tonsillitis or URTI

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