Surgical Tut #4 RIF Pain

Question 1

first presentation of RIF pain?

Answer 1

epigastric pain

nausea and vomiting

Question 2

3 positions of appendix

Answer 2

retro-ilial
pelvic
retrocaecal

Question 3

appendicitis classical symptoms

Answer 3

loss of appetite
fever
N+V
tachy

Question 4

why microhaem and leukocytes in urine with appendicitis?

Answer 4

irritation of bladder due to surrounding inflammation

Question 5

etiology of appendicitis obstruction?

Answer 5

fecaelith
lymphoid hyperplasia (kids, and young adults)
worms
cancer

Question 6

anyone over age 50 with suspected appendicitis, do what?

Answer 6

CT abdo or CT KUB

Question 7

UTI, in dipstick you want to see what?

Answer 7

nitrites

Question 8

causes of terminal ileitis

Answer 8

yersinia
TB
crohn’s

Question 9

where do renal stones get lodged? when to worry

Answer 9

PUJ - pelvic ureteric junction
VUJ - vesico-ureteric junction

worry if larger than 5-6mm

Question 10

mesenteric adenitis is what?

Answer 10

viral infection

causes lymphadenopathy, enlarges in mesentry

Question 11

meckel’s diverticulum is where? who? what kinds of mucosa?

Answer 11

terminal ilieum, within 2 feet, 2% of pop, 2 types of mucosa: gastric and pancreatic (enzymes)

Question 12

Meckel’s presentation?

Answer 12

GI bleeding, malaena in young person without previous GI ulcers or Ca

Question 13

RIF ddx

Answer 13

crohn's - terminal iliitis
renal colic
testicular/ovarian torsion
mesenteric adenitis
ruptured cyst
ectopic preg
Meckel's 
herpes zoster
diverticulitis -caecal, sigmoid
cancer
psoas abcess
PID