Appendicitis

Acute Appendicitis ,[object Object],[object Object]

Anatomy Rises from cecum 6 to 10 cm Vermiform Right lower quadrant Mesoappendix Appendicular A. & V. Many lymph follicles

Anatomy (various position) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology and Pathogenesis ,[object Object],Hypertrophy of lymphoid follicles Fecaliths Foreign bodies Inflammatory strictions Others Fever, tachycardia, and leukocytosis Vein Continuing secretion & Bacteria multiplication Intraluminal pressure increases Impairment of blood supply & endotoxins Pain Distention Artery Engorgement Mucosa damaging Bacterial invasion Serosa involved Ellipsoidal infarcts Characteristic shift in pain to RLQ Perforation Abscess Generalized peritonitis Nausea & vomiting

[object Object],[object Object],[object Object],Clinical Diagnosis

Clinical Diagnosis very constant after the onset of pain ,[object Object],[object Object],[object Object],Variations Left lower quadrant Long appendix Flank or back pain Retrocecal appendix Suprapubic pain Pelvic appendix Testicular pain Retroileal appendix Malrotation puzzling pain patterns ,[object Object],[object Object],[object Object],[object Object],[object Object],Generalized Lower epigastrium Umbilical area Right lower quadrant

Clinical Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Essentials of Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Principles of Treatments ,[object Object],[object Object],[object Object],[object Object]

Acute Appendicitis ,[object Object],[object Object],[object Object],[object Object]

Appendicitis

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Appendicitis

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