Page 254 - 2021 IDMT Digital
P. 254
APPENDICITIS
Introduction:
• $SSHQGLFLWLV DFXWH LQIODPPDWLRQ RI WKH YHUPLIRUP DSSHQGL[
• ,QLWLDWHG E\ REVWUXFWLRQ RI WKH DSSHQGL[ E\ D IHFDOLWK LQIODPPDWLRQ IRUHLJQ ERG\ RU
QHRSODVP
• 0RVW FRPPRQ DEGRPLQDO VXUJLFDO HPHUJHQF\ RI SRSXODWLRQ
• &RPPRQ EHWZHHQ DJHV RI WR
• ,I QRW UHFRJQL]HG DQG WUHDWHG LPPHGLDWHO\ JDQJUHQH DQG SHUIRUDWLRQ PD\ GHYHORS ZLWKLQ
KRXUV
Subjective:
• 6LJQV DQG 6\PSWRPV
o (DUO\ YDJXH FROLFN\ SHULXPELOLFDO RU HSLJDVWULF SDLQ
o /DWHU ZLWKLQ KRXUV SDLQ VKLIWV WR 5/4
6WHDG\ DFKH ZRUVHQHG E\ ZDONLQJ FRXJKLQJ
1DXVHD DQG YRPLWLQJ
6HQVH RI FRQVWLSDWLRQ LV W\SLFDO
o %H FRJQL]DQW RI ³DW\SLFDO´ SUHVHQWDWLRQV
Objective:
• 3K\VLFDO ([DP
o 9LWDOV WHPSHUDWXUH OHVV WKDQ ) LV W\SLFDO
o 5/4 ORFDOL]HG WHQGHUQHVV DQG JXDUGLQJ ZLWK JHQWOH SDOSDWLRQ
o /LJKW SHUFXVVLRQ PD\ DOVR HOLFLW SDLQ
o 5HERXQG WHQGHUQHVV may be SUHVHQW
o 3RVLWLYH SHULWRQHDO VLJQV SVRDV DQG REWXUDWRU
• 7RROV
o 'LDJQRVLV FDQ EH FRQILUPHG E\ &7 RU 86
o &%& PD\ demonstrate an HOHYDWHG :%& FRXQW
Assessment:
• 'LIIHUHQWLDO
o $FXWH VDOSLQJLWLV RU WXER RYDULDQ DEVFHVV \RXQJ IHPDOHV ZLWK IHYHU DQG
DEGRPLQDO SDLQ RU SHOYLF WHQGHUQHVV
o OYDULDQ torsion VXGGHQ VHYHUH SDLQ LQ ULJKW RU OHIW ORZHU DEGRPLQDO
TXDGUDQWV LQ IHPDOHV
o 5XSWXUHG HFWRSLF SUHJQDQF\ VHYHUH SDLQ SHOYLF WHQGHUQHVV VKRFN SRVLWLYH
+&*
o 'LYHUWLFXOLWLV OLNHO\ NQRZQ GLYHUWLFXORVLV SDLQ LQ OHIW ORZHU TXDGUDQW ZLWK IHYHU
o %DFWHULDO JDVWURHQWHULWLV GLDUUKHD ZLWK PRUH VHYHUH V\PSWRPV PD\ KDYH D IHYHU
DQG EORRG\ GLDUUKHD
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