apendicitis8 - Chest x-ray CT scan Differential Diagnosis...

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Appendicitis By Samira Kirmiz MS III
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Definition Inflammation of the appendix. Caused by an obstruction. Fecalith. Lymphoid obstruction. Infection.
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Pathophysiology Venous obstruction Ischemia Necrosis
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Anatomy
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Case History 20 year old female. CC: umbilical pain with nausea and vomiting. HPI: yesterday she experienced periumbilical pain which continues to worsen and is now accompanied by nausea and vomiting.
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Clinical Presentation Symptoms Periumbilical pain Anorexia Nausea Vomiting Fevers Chills Signs Psoas sign Obturator sign Rovsing’s sign Hamburger sign Maximally tender at McBurney’s point
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Diagnostic Tests Labs CBC Leukocytosis with a left shift Urinalysis RBC’s present Pregnancy test
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Imaging Ultrasound Acute abdominal series
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Unformatted text preview: Chest x-ray CT scan Differential Diagnosis Women PID Ovarian torsion Ectopic pregnancy Ovarian cyst Both sexes Gastroenteritis Pyelonephritis Diverticulitis Crohns disease Meckels diverticulum Pancreatitis Inflamed Appendix Inflamed Appendix Perforation of Appendix When Does Perforation Happen? Statistics 25% risk of perforation after 24 hours What does it mean? Change in type of surgery Risk of abscess Peritonitis Increased mortality Treatment Surgical Open surgery Laparoscopy Interval appendectomy Medical Triple therapy Ampicillin Flagyl or Clindamycin Gentamycin Open Appendectomy...
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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apendicitis8 - Chest x-ray CT scan Differential Diagnosis...

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