Ruptured Appendix and Acute cholangitis

Question 1

Ruptured appendix is what type of infection

Answer 1

Intra-abdo infection

Question 2

What are the pathogens involved in ruptured appendix

Answer 2

Negative Colliforms
Positive Enterococci
Bacterioides Fragillus

Question 3

What are the examples of negative colliforms

Answer 3

Klebsiella
E coli
Enterobacter

Question 4

What is the treatment for gram negative ruptured appendix

Answer 4

Cefuroxime

Question 5

What is the treatment for bacterioide ruptured appendix

Answer 5

Metronidazole

Question 6

What are the two drugs commonly used for ruptured appendix

Answer 6

Cefuroxime

Metronidazole

Question 7

What is the triad of symptoms for Ascending cholangitis

Answer 7

Charcot’s Triad (Ascending cholangitis)

• Jaundice
• Pyrexia
• Abdominal pain

Question 8

How do you investigate ascending cholangitis

Answer 8

Blood culture

-Billiary tree infection moves to blood (bacterimia)

Question 9

What pathogens are often found in Ascending cholangitis

Answer 9

E Coli
Klebsiella
Enterococcus
Bacterioide Fragillus

Question 10

How is ascending cholangitis treated

Answer 10

Co-Amoxiclav

or Cefuroxime w/ metronidazole