Appendiceal disease Flashcards Preview

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Flashcards in Appendiceal disease Deck (12):
1

Appendicitis pain starts in _____ (___pain) then moves to ___ (___pain)

starts in umbilical region - visceral pain >
RIF - parietal pain as irritates peritoneum

2

Appendicitis is most common in which age groups

5-40yos
elderly

3

Aetiology of appendicitis =

obstruction with a faecolith, bacterial, viral or parasitic

4

Appendicitis causes ___ inflammation, ___ hyperplasia, __+__ build up
___ obstruction

mucosal inflam
lymphoid hyperplasia
mucus and exudate build up
venous obstruction

5

Rovsing's sign =

Press LIF = pain in RIF
appendicitis sign

6

Psoas sign =

patient on side and R hip flexed illicits abdominal pain
appendicitis / psoas abscess

7

Investigations for appendicitis

clinical findings
US
AXR
bloods - CRP and WCC mildly raised
urinalysis

8

1st line for treatment of appendiceal mass:

antibiotics
if fails/complicated then = surgery

9

Neoplasms of the appendix (3)

carcinoid (most common)
pseudomyxoma peritonei
adenocarcinoma

10

Crypts of lieberkuhn stains for ____ in carcinoid tumour of apppenndix

chromagraffin

11

appendectomy is possibly for tumours of the appendix if __

less than 1cm and not at the base

12

hemicolondectomy is needed for appendiceal tumours if ___

more than 1cm +/ at the base