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Gastro > Appendicitis > Flashcards

Appendicitis Flashcards

1
Q

What is the presentation of appendicitis? (10)

A

Paraumbilical pain which moves to RIF

Tachycardia 
Fever
Rebound tenderness 
Peritonism 
Guarding
Vomiting 
Rovsing’s sign (pain in RIF when LIF pressed)
Psoas signs
Cope signs
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2
Q

Investigations for appendicitis? (9)

A 
NEWS
Urinalysis 
Beta-hcG
Bloods (FBC, U+E, LFT, CRP)
Amylase
Group and save 
US (women and children)
CT abdo (good sensitivity and specificity)
Alvarado score (more than 7 is acute appendicitis)
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3
Q

What is the initial management of acute appendicitis? (6)

A 
IV fluids
Nill before mouth
Analgesia
Anti emetics
Prophylactic antibiotics 
Thromboprophalaxis
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4
Q

What is the definitive management of Acute appendicitis?

A

Laparoscopic appendectomy

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