Surgery - Acute Appendicitis Flashcards
appendicitis
luminal obstruction with resultant inflammation
faeces pellet allows bacteria to build up and inflam causing pain, can lose blood supply and become necrotic or perforated
what age group is appendicitis most common in
10-30
patient with gradual onset worsening pain , central pain moves to right iliac fossa , vomiting and diarrhoea
appendicitis
pain when the appendix touches the peritoneum in right iliac fossa
differentials for appendicitis
infection, weight loss, resp tract infection, bowel habit
where is tenderness and peritonitis found on examination for appendictis
a.rovsings
b.murphys
c.mcburneys point
c.mcburneys point
young male with prev resp tractt infection with vomiting pain in right iliac fossa
a.mesenteric adenitis
b.acute appendicitis
c.inflamed meckels diverticulum
d.crohns disease
a.mesenteric adenitis
appendix mesentry swells
young male with right iliac fossa pain and vomiting pain and bleeding
a.mesenteric adenitis
b.acute appendicitis
c.inflamed meckels diverticulum
d.crohns disease
c.inflamed meckels diverticulum
congenital abnormality
young male 4-6 week change in bowel habit with loose stools
a.mesenteric adenitis
b.acute appendicitis
c.inflamed meckels diverticulum
d.crohns disease
d.crohns disease
what is the first line investigation for an older person with appendicitis symptoms
a.x ray
b.ct abdo
d. amylase
b.ct abdo and pelvis
bleeding and visceral injury are the ……… complications of laparoscopy
a.early
b.intermediate
c.late
a.early
ileus
bowel paralysis
resolves on own accord
nausea , bloating , pain
ileus, wound infection and intraabdominal collections are …………… complications of laparoscopy
a.early
b.intermediate
c.late
b.intermediate
adhesional obstruction and incisional hernia are …………… complications of laparoscopy
a.early
b.intermediate
c.late
c.late
