Appendicitis/Diverticular Dz/Ischemic BD Flashcards
Whats the most common age range for someone to get appendicitis
10-30 years.
what do you suspect in a pt who started w/ periumbilical pain that radiated to RLQ
appendicitis
in which order would you suspect symptoms of a pt w/ appendicitis
radiation of pain from periumbilical region to RLQ 1st, N&V next and later fever
Which PE test would you perform to confirm appendicitis
check for pain at McBurney’s Point (1/3 distance btw ASIS & belly button)
what are other diagnostic tests used for appendicitis performed during PE
Rovsing sign, psoas sign, obturator sign, heel/ jar drop
what do you expect to find on labs for appendcitis
leukocytosis w/ bandemia WBC’s>14,000
>20,000 suggests perforation, an increased CRP
What is the Alvarado score used for…
assessing appendicitis: 99% had >5 so better use to R/O. < 3 send home. 3-5 get CT, > 7 surg. consult
what is the imaging of choice for appendicitis? Gold Standard of Tx>
Ct scan, appendectomy
Where is the most commonly affected area for ppl with diverticulum?
sigmoid colon (LLQ) Except Asians on rt. side
why are imaging not usually recommended in pt with diverticulum?
typically asx
how would you counsel a pt who has diverticulum.
increase fiber, water, exercise, lose wt.
what do you suspect with painless hematochezia
diverticular bleeding
how do you treat diverticular bleeding?
colonoscopy w/ electrocautery is 1st line for those who don’t stop spontaneously (75%)
in a pt with LLQ pain and leukocytosis what is ur suspicion?
diverticulitis
what is the image of choice for diverticulitis
CT showing thickened bowell wall
