Appendix

Question 1

McBurney’s Point

Answer 1

2/3 the distance from umbilicus to ASIS

Question 2

Appendicitis - Clinical Presentation - Early

Answer 2

Vague, colicky periumbilical pain, Low grade fever (Perf = High fever), Anorexia

Question 3

Appendicitis pain description

Answer 3

Pain is sharp and increased with peritoneal irritation, Coughing, jumping, bumpy rides, Patient will be lying still

Question 4

Appendicitis - Clinical Presentation - Late

Answer 4

within 12 hrs - pain migrates to RLQ, McBurneys Point

Question 5

T/F - Delay definitive (surgical) care in order to obtain a CT

Answer 5

F

Question 6

Vermiform Appendix (2) points

Answer 6

Vestigial organ, True diverticulum of the cecum

Question 7

Rovsing’s sign

Answer 7

Palpation of LLQ causes RLQ pain.

Question 8

Fecalith

Answer 8

hard stony mass of feces

Question 9

T/F - Appendicitis - Surgical ER

Answer 9

T

Question 10

Appendicitis - Pathogenesis

Answer 10

1. Obstruction 2. increased pressure 3. venous congestion

Question 11

Appendicitis - Treatment

Answer 11

Surgical appendectomy - Early Antibiotics maybe pre surgery - Broad GNB/Anaerobic

Question 12

Appendicitis - PE findings

Answer 12

TTP at McBurney’s point Direct/rebound tenderness Guarding/rigidity POS -Heel

Question 13

Appendicitis - Labs

Answer 13

CBC - Moderate leukocytosis commonly, CMP UA, Radiographs, CT Scan

Question 14

Appendicitis - Obstruction causes

Answer 14

Inflammation, Fecalith, Calculi, Infection, Tumor