Surgery 1. Appendix Flashcards
Surgical anatomy of appendix :-
MC :- 2nd MC :- Least common / most difficult to diagnose :-
301
Appendicular artery :-
Branch of :-
Terminal part prone to :-
Apex is more prone to :-
Accessory appendicular artery :- artery of ,,,,,,,,,,,,,,
Branch of :-
Appendix base has constant location :-
301
Acute appendicitis 2 types 1. 2. Common in children is
MC cause of obstruction :-
301
CF
Rare in :-
Common in :-
302
Scoring system used for acute appendicitis :-
1.
2
Mnemonic is :-
302
M A N T R E L S
2 points are for
1.
2.
302
Total points :- Unlikely :- Possible :- Likely :- Highly likely :-
302
Other scoring systems are :-
1.
2.
303
Earliest symptom in appendicitis’s is :-
Pain shift to :-
303
Signs of appendicitis 1. 2. 3. 4. 5. 6. 7. 8.
303
Signs of appendicitis based on location 1. Retrocecal appendicitis:- a. b. 2. Pelvis appendicitis :- CF :-
- Post iliac appendicitis
:-
303
Which inf closet mimic appendicitis I’m MC DD :- .
By :-
Causes :-
304
IOC for appendicitis
In adult :-
In children :-
Cf on usg :-
- Diameter :-
304
Management of acute appendicitis:-
Sx :-
Incisions in open appendicectomy :-
Emergency appendectomy :- ,,,,,,,,,,,,,,
Type
1. :- ,,,,,,,,,,,,,,,,
2. :- ,,,,,,,,,,,,,,,,
Interval appendicectomy :- ,,,,,,,,,/,,,,,,,,,,,/ ,,,,,,,,,,,,
In appendicular perforation ;- ,,,,,,,,,,,,,,
305
Appendicectomy steps
Base of appendix at :-
If appendix not inflamed :-
If appendix inflamed :-
Stump of appendix :-
If base is inflamed :-
Do not :-
:-
Suture :-
Of base is gangrenous or Cecal wall is gangrenous do :-
305