Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Gastrointestinal > Diseases of Appendix > Flashcards

Diseases of Appendix Flashcards

1
Q

what is appendicitis?

A

infection of the appendix

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

aetiology of appendicitis?

A

unknown, obstruction of lumen, bacterial/viral

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

pathology of appendicitis?

A

inflammation of appendix causes greater omentum to stick to appendix and small bowel creating a large inflamed mass

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

risk factors for appendicitis

A

age, immunosuppression, diabetes, absence of omentum

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

pathogenesis of appendicitis?

A

obstruction of lumen > mucosal inflammation & lymphoid hyperplasia > build up of mucus and exudate > venous obstruction > ischaemia > perforation

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

symptoms of appendicitis?

A

central abdominal pain that shifts to right iliac fossa, sore to cough, anorexia, flushed

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

acute presentation of appendicitis may look like…

A

vomit, pain, RIF tenderness, inc WCC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

signs of appendicitis?

A

mild pyrexia, tachy, localised pain, guarding, Rosving’s, Psoas, obsturator

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

what is the localised pain called with appendicitis?

A

McBurney’s point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is Rosving’s sign?

A

pressing on left exacerbated pain in right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is Psoas sign?

A

keeps right hip flexed

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

what is Obsturator sign?

A

flexing hip and internal rotation causes pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ix for appendicitis

A

bloods (CRP-c reactive protein & WCC)*, USS, CXR, urinalysis

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

what ix would you do with acute presentation of appendicitis?

A

lilopsoas test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what score is applied to appendicitis to assess severity?

A 
MANTRELS 
Migration of pain to RIF
Anorexia 
Nausea
Tenderness 
Rebound pain 
Elevated temp & pulse
Leukocytosis 
Shift of WCC to left
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the tx for appendicitis?

A

4As

  • Analgesia
  • Antipyretics
  • Appendectomy/ laparoscopy
  • Antibiotics
17
Q

what are the complications for appendicitis?

A

PRAFS

  • peritonitis
  • rupture
  • abscess (appendix mass, abscess, pelvic abscess)
  • fistula
  • sepsis
18
Q

ddx for appendicitis in kids?

A

gastroenteritis, mesenteric adenitis, meckel’s diverticulum, intusussuception, henoch-schonlein purpura, lobar pneumonia

19
Q

ddx for appendicitis in adults?

A

adults: terminal ileitis, ureteric colic, pancreatitis, perforated ulcer

20
Q

ddx for appendicitis in women?

A

women: ovarian cyst, ectopic pregnancy

21
Q

ddx for appendicits in elderly?

A

elderly: sigmoid diverticulitis, carcinoma of caecum

22
Q

what is the epidemiology of carcinoid of appendix?

23
Q

s/s of carcinoid of appendix?

A

asymptomatic finding

24
Q

pathology of carcinoid of appendix?

A

occurs in crypts of lieberkuhn

25
Q

tx for carcinoid of appendix?

A

surgical resection-appendicectomy/ right hemicolectomy

Gastrointestinal (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions