APPENDIX

Question 1

Treatment of phlegmon

Answer 1

Antibiotics only!

Watch for perf once there are air bubbles on the CT scan then drain

Question 2

Management of patient with perforated appendicitis over the age of 50 who is just charged with resolution after perk drain and antibiotics

Answer 2

Needs colonoscopy!

Interval appendectomy dealers choice

Question 3

Important change in differential diagnosis with late presentation of concerned for acute appendicitis

Answer 3

is perforated right sided colon cancer

Right-sided diverticulitis

typhlitis in immunocompro

Question 4

Treatment of perforated appendicitis

Answer 4

This is best treated with are drainage antibiotics

Otherwise, this can turn into more harm than good in the bigger operation with colon
resection etc.

The exception his diffuse peritonitis and worsening clinical condition requires exploratory laparotomy

Question 5

Antibiotics for perforated appendicitis

Answer 5

Piperacillin/tazobactam

Then transition to oral antibiotic:

Augmentin(amoxicillin/clavulanic acid)

Question 6

When would you pull drain placed by IR for perforated appendicitis

Answer 6

Once it is putting out less than 30 mL per day

around two weeks postop visit in clinic

Question 7

what do all females get with appy work up

Answer 7

All females need HCG to rule out pregnancy`

Question 8

Antibiotics recommended for appy

Answer 8

before surgery and if appendix is non-perforated, give 3 doses of the antibiotics

o If perforated:
antibiotics for 5 additional days

Question 9

If mild symptoms, CT diagnosis of phlegmon,

Answer 9

treat with IV antibiotics,

percutaneous drainage.

Observe WBC, fever and clinical exam.