Appendiceal Disease Flashcards
What is the classic presentation of appendicitis?
Umbilical pain that migrates to the RIF at McBurney’s point
Where is McBurney’s point?
1/3 of the way between ASIS and umbilicus
Why does the pain of appendicitis shift from umbilicus to RIF?
Appendix is a midgut structure -> umbilical pain
As it irritates peritoneum, pain will spread to RIF
What is Rosving’s sign?
Pressing in the LIF and suddenly removing your hand will cause pain in the RIF
What score range on the MANTREL score makes appendicitis likely?
Score of 7-10
What is the common treatment for appendicitis?
Laparoscopic appendectomy
+ analgesia + antibiotics
Which type of inflammation occurs in appendicitis?
Neutrophilic inflammation involving muscle coat
Which appendiceal tumour arises from the crypts of Lieberkuhn?
Carcinoid tumour
If a carcinoid tumour of appendix is less than 1cm, appendectomy would be done alone. True/False?
True
