Appendicitis Flashcards Preview

Hugh's MD2 Core Conditions and Presentations > Appendicitis > Flashcards

Flashcards in Appendicitis Deck (13):
1

What are the advantages of laproscopic appendix removal?

Can see more in the abdominal cavity

2

What is a typical presentation of appendicitis?

Periumbilical pain that moves to McBurney's point

N/V

Loss of appetite

Diarrhoea

Low grade fever (max 38.5)

Tachycardia

Urinary symptom (+/- leukocyte + on dipstick)

3

When do you US in ?appendicitis?

In women where the story could be ovarian pathology

4

Why does Rovsing sign occur?

Stretching of the peritonium on the left side irritates the inflamed peritonium on the righit side localising the peronitis

5

How do you know you're at the base of the appendix?

It's the convergent point of the taenia coli

6

What are the most common position of the appendix?

1. Retrocaecal

2. Pelvic

3. Retroileal

7

Where are the ports in a laproscopic appendisectomy?

Infraumbilical

LIF

Suprapelvic

(5mm each)

8

How can a retroileal appendix appendicitis present?

Periumbilical pain predominating

9

How can a pelvic appendix appendicitis present?

Pain with walking

Diarrhoea (due to irritation of the rectal wall)

10

What do you think of in a patient with a appendicitis story and high fever?

Perforated appendix

Viral infection - mesenteric adenitis

11

When do you CT in a ?appendicitis?

?Cancer in a >50 years

?Renal colic (eg a lot of blood in urine)

?Crohn's - longer history

12

In which patients do you further Ix for a cause of appendicitis? What do you do?

>50 years old

Abdo CT

13

Why does appendicitis occur?

Obstruction of the appendix outlet

- faecolith (stone of faeces)

- lymphoid hyperplasia (in young people)

- Cancer of the caecum

- Worms