S09C84 - Acute appendicitis Flashcards
1
Q
Appendix position in a malrotated gut:
A
-LUQ
2
Q
Scoring systems for appendicitis
A
- alvarardo
- samuel
3
Q
Appendicitis: imaging
A
- fecolith can be seen on AXR in 50% of cases (AXR considered not useful however)
- us: >6mm in diameter, thickened, noncompressible, modality of choice in pregnant pts and children
- CT: 96%Sn
- us: 86%Sn
- note: non-contrast CT is an acceptable method for diagnosis and obtains faster imaging
4
Q
MRI in pregnancy
A
- don’t’ give gadolinium for theoretical risk of teratogenicity
5
Q
Appendicitis: Abx
A
- simple, adult: cefoxitin /or moxi or/ flagyl plus cefuroxime/cefazolin/cipro/levo
- simple, child: cefoxitin /or genta plus flagyl/clinda
- complicated: imipenem, mero, moxi, pip-taz OR flagyl plus aztreonam/cefepime/cipro/levo
