Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Acute Abdomen > Appendix > Flashcards

Appendix Flashcards

1
Q

Enumrate the different position of appendicx? (7) 📍

A 
1- retrocecal 
2- paracecal
3-subcecal
4- plevic
5- pre-ileal
6- post-ileal
7- sub-ileal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Most common appendix position?

A

Retrocecal (11 clock)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

MCq
Length normally of apendix range from ?

  • 2-4 cm
  • 4.5- 7
  • 7.5 - 10 cm
A

7.7-10cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Name of the cell responsible fir carcnoid tumor?
A) kulchitsky cells
B) petute cell
C) macraoni cell

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q 
Which from the following dietry factor have been attributed to acute appendicitis?
A) high fiber dier
B) low fiber diet
C) use of refined carbohydrate 
D) a+c
A

D) a+ c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Appendicitis can bu occluded by?

A

Fecolith
Worms: Oxyuris vermicularis
Intestinal parasite
Lymphatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Complication of appendicitis?

A
  • perforation
  • pertionoits
  • paracecal abscess
  • apenducular mass
  • plevic mass
  • mucocele
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk factor of perforation following acute appendicitis?

اربعه خاصين بالمريض، اثين صفات للمرض

A

1- immunocobmrised
2- DM
3- old age
4- history of pervious abdominal surgery

5- plevic appendix
6- fecolith obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What the differential of acute appenditis in childern?

تذكري بجامه PGIMMH

A 
P: pneumonia lobar 
G: gastroenteritis
I: intussception
M: mesenteric lymphadnitis 
M: meckel diverticulitus
H: henoch schonlein purupra هنوش سكولين بربرا
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Differential of acute appendicitis in adult ?
تذكري حبيبة
Hpuptt

A 
H: hematoma of rectus sheath
P: pancreatitis 
U: urter colic 
P: perforated peptic upcer
T: Terminal ilium
T: resticular torsion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Differenof acute appendicitis in female ? 📍

الحريم رومنسيات يحبون القصايد poem عددهم سته

A

P: Plevic inflammatory diseasse/ pyelonephritis
O: overian cyst hg or rupture
E: ectopic pregnancy / endomtrosis
M: mittleschemerz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ddx in elderly

يحبون الدبس مع انه مضر لهم

A 
D: diverticulitis 
B: bowel obstruction
C: colon cancer
R: rotated testicle
M: mesentric infraction
A: aortic anueyrsm
N: مافي زياده بس حطي ببالك انهم يجون وذ نو تبكل بكتر
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

During appendictony , tumpor of appendix was founf, it 4cm in size, How would manage?

1) leave it since it usually slow growing
2) appendictomy
3) take biobsy to see the milignancy or benign
4) right side hemicolectomy

A

4) right side hemicolectomy

Tumore <2 cm : appendictomy
Large tumor: right side hemi..

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Complication of appendictomy?

Wrap if hot تذكري

A 
W: wound infection
R : respiratory atelecrasia
A: abscess
P: portal pyemia
I: ilius 
F: fistula ( in crohn px)
H: hernia ( richet hernia)
O: obstruction die to adhesion ( common late complication)
T: thrmposis in lung or leg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Enumorate three type of appendiular tumor?

A

1- Carcinoid tumor
2- adenocarcinoma
3- goblet cell carcnoid carciomaw
4- signet ring carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Alfardo score?

مان ترسلي

A 
Migratory pan 
A- Anorexia
N- Nausa and vomiting
T- Tenderness
Repound tenderness
S : shift to left of netrophils
Luekocytosis امثر من عشر الالف
E elvated tempruture >37.3

If 5-6 : eqivoclunt do us or ct

17
Q

Enumorate 5 signs in acute appendix

A 
1- rovasing sign 
2- psoas sign
3- obutrator sogn
4- rebound tenderness bumberg
5- mcburrny sign
6- pointing sign
18
Q 
In rectal examination of px with acute appendicitis you founf boggy mass, the pc xomplain of tenus and diarrhia what could be the cause?
A- appendular mass
B- appendicular tumor
C- crohn
D- plevic abcess
A

D: plevic ansecc as in vesicolonic pouch

19
Q 
In examining px with acute appendicitis you find 4cm mass in RLQ how would you manage?
A) apendictomy 
B) lapetactomy
C) ochsner sherren regmin
D) radiolgy gaudided drainge
A 
C) consist of 
analgesic 
2 abx ( metrandizol , 3 generation cephlosporone)  
Iv fluid 
Correct electrolyte 
Antipyeetic - anti emtic 
Mark size of the mass
Mentor vital every four hour till t days
20
Q

After managing appendular mass concervitively, you should mentor 3 main if any develop , stop the concervayive. What are they?

A
  • increase in pulse rate
  • increase in size of mass
  • Increase in abdominal pain
21
Q

Types of appendicitis oncision?

A

A- gridiron
B- lenz
C-rutherford morsion (for retro or oara cecal) or fixed appendix.

22
Q

What lapertory you would do?

A 
CBs
Urineanalysis 
Pregnemcy test 
Electrolte 
Supine xeay for perforation
Us 
Ct ( liw dose)
23
Q

Typhlitis or leukaemic ileocaecal syndrome is a rare but
potentially fatal enterocolitis occurring in immunosuppressed
patients. …………. septicaemia can be rapidly progressive. Treatment is
with appropriate antibiotics and haematopoietic factors. Sur-
gical intervention is rarely indicated.

Write the name of bactrias?

A

Name of orgnism : Gram-negative or clostridial (especially Clostridium
septicum)

Acute Abdomen (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions