Ebook Imaging for surgical disease: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Imaging for surgical disease: Part 2
Ebook Imaging for surgical disease: Part 2
AppendixAppendicitisOverview■Most common in teenage years and patients in their 20s■Rate of appendectomy for appendicitis is 10 per 10.000 patients pe Ebook Imaging for surgical disease: Part 2er year■Usually due to lymphoid hyperplasia or fecalith causing luminal obstructionSigns and Symptoms■Anorexia (90%)■Abdominal pain: Periumbilical migrating to RLỌ■Nausea and vomiting (70%)■Low-grade feverPhysical Examination Findings■Point tenderness typically over McBurney point■Psoas sign: Pain w Ebook Imaging for surgical disease: Part 2ith extension of right thigh while in left lateral decubitus position■Obturator sign: Pain with passive rotation of flexed right hip■Rovsing’s sign: PEbook Imaging for surgical disease: Part 2
ain in RLQ while palpating LLQ■Rectal examination may reveal a pelvic mass or abscessLaboratory FindingsChapter 9 Appendix 245Treatment■IV fluid resusAppendixAppendicitisOverview■Most common in teenage years and patients in their 20s■Rate of appendectomy for appendicitis is 10 per 10.000 patients pe Ebook Imaging for surgical disease: Part 2y phlegmon. If there is an inflammatory phlegmon, conservative management with IV antibiotic, with percutaneous drainage of any associated abscessKEY POINT■ The risk of a ruptured appendicitis increases at 24 hours from the initial presentation of signs and symptomsRADIOLOGYAppendicitis■Plain film f Ebook Imaging for surgical disease: Part 2indings•Usually normal•Adynamic ileus may be seen•Sometimes, a calcified appendicolith in the right lower quadrant is seen■US findings•Blind-ending tuEbook Imaging for surgical disease: Part 2
bular structure that is noncompressible, outer wall to outer wall diameter greater than 6 mm•If identified, an appendicolith casts a clean posterior aAppendixAppendicitisOverview■Most common in teenage years and patients in their 20s■Rate of appendectomy for appendicitis is 10 per 10.000 patients pe Ebook Imaging for surgical disease: Part 2ndix, and massively enlarged appendix■CT findings (Fig. 9.1)AppendixAppendicitisOverview■Most common in teenage years and patients in their 20s■Rate of appendectomy for appendicitis is 10 per 10.000 patients peGọi ngay
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