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
Appendicitis in Chrons disease :-
If chrons disease is controlled :-
If active chrons disease :-
305
In Laproscopic appendicectomy 3 tocars 1. 2. 3.
305
MC complication of appendicectomy :-
Injury to nerve :-
MC long term complication :-
305
Appendicular perforation :-
Condition where perforation can occur :-
MC extrauterine abdominal emergency in pregnancy is :-
306
Appendicular lump Management:- Aka :- Rx :- Monitor :-
Outcome
1:-
Discharge on :-
After :-
- :-
Do :-
306
Appendicular tumors :-
MC appendicular tumor :-
MC malignant appendicular tumor :-
Management of carcinoid tumor is
- Appendicectomy done when :-
- Right hemicolectomy is done when :-
306
Pseudo myxoma peritonei
Jelly like deposition in peritoneal cavity :-
Tumors that can give rise to :-
CF :-
Diagnosis :- Management:- 1. 2. 3.
CRS includes :-
HIPE :-
Administration during :-
Drugs are :-
Systemic chemotherapy:-
307
Carcinoid tumor :- Synonym:- arise from :- IHC :- Colour :- Metastasis :- Rx :- 1. 2.
308
If tumor is found after appendicectomy
If it is carcinoid:-
308