Appendix Flashcards
in appendicitis, fecoliths are usually located at the ___ of the appendix
exit
when the intralumenal pressure inside the appendix surpasses that of the _____, ischemia occurs
vessels
ischemia of the appendix can cause ___ and ___
edema, necrosis
necrosis can lead directly to ____ or can provide a site for ____
perforation; bacterial invasion
if the appendix perforates, what can happen?
peritonitis and sepsis
the first pain felt with appendicitis is called _____ pain, and is located?
visceral pain; periumbilical region
as the inflammation progresses through the wall of the appendix and reaches the serosa, pain becomes localized to the ____, also known as?
RLQ; McBurney’s point
if perforation occurs, ____ ensues, resulting in?
peritonitis; diffuse abdominal pain
sx of appendicitis
abdominal pain, N/V, mild fever/chills, anorexia
physical findings appendicitis
tachycardia, low grade fever, RLQ pain, Rovsing sign, Psoas sign, Obturator sign
tx of appendicitis
appendectomy + ABX (prophylactic)
majority of diverticula in the West are located in the _____ colon
sigmoid
microperforation of diverticula is due to?
inspissation with fecolith
diverticulitis presentation
LLQ pain, fever, constipation, leukocytosis, bowel obstruction, peritoneal signs if macroperf
do NOT do this on a pt with suspected diverticulitis
colonoscopy, barium enema
