Appendicitis Flashcards
1
Q
5 ddx for appendicitis
A
ectopic pregnancy in females ovarian torsion in females diverticulitis pancreatitis UC biliary pathology PID UTI
2
Q
3 imaging modalities
A
US
CT AP
MRI
3
Q
Mx for appendicitis
A
analgesia anti-emetics watchful waiting NBM consent for appendicectomy prophylaxis for surgery if indicated Group and save
4
Q
aetiology
A
luminal obstruction- could be caused by lymphoid hyperplasia, faecolith, parasites, tumour
5
Q
Typical px
A
febrile dehydrated Rovsing's sign + McBurney's point tenderness pain starts centrally and moves to RIF psoas and obturator signs
6
Q
why does the pain move from central abdomen to RIF
A
inflammation of the visceral peritoneum occurs first then the parietal peritoneum gets inflamed, hence the movement of the pain.
7
Q
what is psoas sign?
A
pain on hip extension- ask patient to lift their leg up
8
Q
what is obturator sign?
A
pain on internal rotation of hip
9
Q
important initial tests
A
FBC CRP U&E LFT cultures amylase G&S clotting urine dip
10
Q
2 complications
A
peritonitis
abscess/collections
