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14 Cards in this Set
- Front
- Back
Incidence
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7%
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Age
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Peaks in teens, but any age
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Sex Ratio
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1.4M:F
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Geography Distribution
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?link to low dietary fibre cultures
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Pathology
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Obstruction of appendiceal lumen
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Classical Symptoms
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migratory pain from periumbilical to the RLQ
(this sign has 80% sensitivity/specificity) |
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General Signs
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Rebound tenderness
Painful percussion Rigidity Guarding Pain over McBurney's point (2inches left of right ASIC) |
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Named Signs
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PRO
Psoas Rovsig's Obturator |
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Psoas Sign is
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RLQ pain on hyperextension of the R hip
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Rovsig's Sign is
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RLQ pain on palpation of the LLQ
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Obturator Sign is
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RLQ pain on internal rotation of a flexed R hip
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Investigations
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Bloods: FBC (WCC, Neutrophilia); CRP (6-12hrs after); LFTs, U&Es, G&S, XMatch (Preop)
Urine: excludes other pain causes |
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Management
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IV access, fluids (vomiting, preop)
NBM Analgesia Preop Cef and Met |
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Prognosis
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Excellent
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