Appendicitis resident survival guide: Difference between revisions
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:♦ [[Heart rate]]: [[Tachycardia]] associated to [[fever]] <br> | :♦ [[Heart rate]]: [[Tachycardia]] associated to [[fever]] <br> | ||
❑Abdomen<br> | ❑Abdomen<br> | ||
:♦ [[ | :♦ [[McBurney's point]] [[tenderness]] <br> | ||
:♦ [[Rovsing | :♦ [[Rovsing's sign]] <br> | ||
:♦ [[Psoas sign| The psoas sign]] is related to retrocecal appendix <ref> name="pmid9880421">{{cite journal| author=Andersson RE, Hugander AP, Ghazi SH, Ravn H, Offenbartl SK, Nyström PO et al.| title=Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. | journal=World J Surg | year= 1999 | volume= 23 | issue= 2 | pages= 133-40 | pmid=9880421 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9880421 }} </ref> <br> | :♦ [[Psoas sign| The psoas sign]] is related to retrocecal appendix <ref> name="pmid9880421">{{cite journal| author=Andersson RE, Hugander AP, Ghazi SH, Ravn H, Offenbartl SK, Nyström PO et al.| title=Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. | journal=World J Surg | year= 1999 | volume= 23 | issue= 2 | pages= 133-40 | pmid=9880421 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9880421 }} </ref> <br> | ||
:♦ [[ | :♦ [[Obturator sign]] <br> | ||
❑ Skin <br> | ❑ Skin <br> | ||
:♦ [[Diaphoresis]] may be present | :♦ [[Diaphoresis]] may be present | ||
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❑ [[Urea]] </div>}} | ❑ [[Urea]] </div>}} | ||
{{familytree | | | | | | | | |!| | | | | | | }} | {{familytree | | | | | | | | |!| | | | | | | }} | ||
{{familytree | | | | | | | | F01 | | | | | | F01=<div style="float: left; text-align: left; height: | {{familytree | | | | | | | | F01 | | | | | | F01=<div style="float: left; text-align: left; height: 15em; width: 30em; padding:1em;"> '''Differential diagnosis'''<ref> name="pmid16960208">{{cite journal| author=Humes DJ, Simpson J| title=Acute appendicitis. | journal=BMJ | year= 2006 | volume= 333 | issue= 7567 | pages= 530-4 | pmid=16960208 | doi=10.1136/bmj.38940.664363.AE | pmc=PMC1562475 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16960208 }} </ref><br> | ||
❑ [[Intestinal obstruction]] <br> | ❑ [[Intestinal obstruction]] <br> | ||
❑ [[Acute cholecystitis]] <br> | ❑ [[Acute cholecystitis]] <br> | ||
❑ [[Perforated peptic ulcer]] <br> | ❑ [[Perforated peptic ulcer]] <br> | ||
❑ [[Mesenteric adenitis]] <br> | ❑ [[Mesenteric adenitis]] <br> | ||
❑ [[Urinary tract infection]] <br> | ❑ [[Urinary tract infection]] <br> | ||
❑ [[Ectopic pregnancy]] <br> | ❑ [[Ectopic pregnancy]] <br> | ||
❑ [[Ovarian cyst|Torted ovarian cyst]] </div> }} | |||
❑ [[Torted ovarian cyst]] </div> }} | {{familytree | | | | | | | | |!| | | | | | | }} | ||
{{familytree | | | | | | | | G01 | | | | | | | G01= '''Suspected appendicitis'''}} | |||
{{familytree | | | | | | | | |!| | | | | | | | }} | |||
{{familytree | | | | | | | | H01 | | | | | | H01=<div style="float: left; text-align: left; height: 15em; width: 30em; padding:1em;"> '''Imagining study'''<ref> name="pmid20163262">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Surg Infect (Larchmt) | year= 2010 | volume= 11 | issue= 1 | pages= 79-109 | pmid=20163262 | doi=10.1089/sur.2009.9930 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20163262 }} </ref> <br> | |||
❑ [[Helical cone beam computed tomography|Helical CT]] of the [[abdomen]] and [[pelvis]] with [[Intravenous therapy|intravenous]] [[contrast]] <br> | |||
❑ Diagnostic imaging should be performed to all female patients <br> | |||
❑ Patients with [[Pregnancy|first trimester of pregnancy]] should undergo [[ultrasound]] or [[magnetic resonance]] <br> | |||
❑ If these studies do not define the [[diagnosis|diagnose]], [[laparoscopy]] or [[CT scanning]] may be considered </div>}} | |||
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Revision as of 17:37, 19 February 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Definition
Causes
Life Threatening Causes
Common Causes
Management
Diagnostic Approach
Shown below is an algorithm depicting the therapeutic approach to appendicitis
Examine the patient ❑ Vitals
❑Abdomen
❑ Skin
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Differential diagnosis[3] ❑ Intestinal obstruction | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Suspected appendicitis | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Imagining study[4] ❑ Helical CT of the abdomen and pelvis with intravenous contrast | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Therapeutic Approach
Do´s
Don´ts
References
- ↑ name="pmid11343547">Lee SL, Walsh AJ, Ho HS (2001). "Computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of acute appendicitis". Arch Surg. 136 (5): 556–62. PMID 11343547.
- ↑ name="pmid9880421">Andersson RE, Hugander AP, Ghazi SH, Ravn H, Offenbartl SK, Nyström PO; et al. (1999). "Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis". World J Surg. 23 (2): 133–40. PMID 9880421.
- ↑ name="pmid16960208">Humes DJ, Simpson J (2006). "Acute appendicitis". BMJ. 333 (7567): 530–4. doi:10.1136/bmj.38940.664363.AE. PMC 1562475. PMID 16960208.
- ↑ name="pmid20163262">Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ; et al. (2010). "Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America". Surg Infect (Larchmt). 11 (1): 79–109. doi:10.1089/sur.2009.9930. PMID 20163262.