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Appendicitis (Signs and symptoms: (Normally starts with vague abdominal…
Appendicitis
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Pathophysiology:
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Most likely caused by Infection, faecoliths, parasites or a neoplasm
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In turn causing further inflammation and oedema within the appendix. Potentially causing perforation
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Investigations
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Bloods - U+E's, LFT's specifically Bilirubin, CRP, FBC and Coag
Imaging: ultrasound - pregnant women, women of child bearing age and males with low BMI
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Differentials:
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Gyn origin - ectopic pregnancy, ovarian cyst
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Treatment
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Conservatively or adjunct with IV abx - Amox Met and gent. Particularly if patient has increased BMI or inoperable due to co-morbidities
If palpable mass felt this usually secondary to perforation as the area has ben walled off by omentum this often requires percutaneous drainage instead
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Principles and practice of surgery J.Garden, A. Bradbury, J. Forsythe,R. Parks
Colorectal Surgery G. Mackay, H. Dorrence, R.Molloy, P. O'Dywer