Anatomy
What is the location of the appendix?
What is the right lower quadrant
This is often the first symptom of appendicitis?
What is abdominal pain
What is the most common imaging test for appendicitis in adults?
What is a CT scan
What is the definitive treatment for appendicitis?
What is appendectomy ( the surgical removal of the appendix)
This occurs when the appendix bursts
What is perforation
The appendix is attached to what part of the intestine?
What is the cecum (the first part of the large intestine)
What is the classical migration pattern of appendicitis pain?
What is periumbilical to right lower quadrant
What lab value is typically elevated in appendicitis?
What is white blood cell count?
What type of surgery involves small incisions and camera?
What is Laparoscopic surgery
What is a wall-off collection of pus after rupture?
What is an abscess
Name the point that lies two-thirds the distance from the umbilicus to the ASIS?
What is the Mc Burney point.
Name two other symptoms besides pain?
What are nausea and vomiting
In children what imaging is used to prevent radiation?
What is ultrasound
True or false: Antibiotics alone can treat some cases of uncomplicated appendicitis
What is true
Name one long-term risk of untreated appendicitis
What is sepsis or bowel obstruction
What type of tissue is commonly found in the appendix and plays a role in immunity?
What is lymphoid tissue
What sign is present when pain is elicited upon the release of pressure in the Right Lower Quadrant?
What is rebound tenderness
The scouring system that is used to assess for appendicitis
What is Alvarado score
What is the first step before surgery in a stable patient with suspected appendicitis?
What is NPO and IV fluids
What post-op complication involves pus in the peritoneal cavity
What is peritonitis
What is the embryologic origin of the appendix?
What is the midgut (The cecal diverticulum appears at six weeks and it is the precursor of the cecum and vermiform appendix. The appendix is visible at 8 weeks of gestation.
Name the sign where the extension of the right thigh causes pain
What is psoas pain
What term describes a ruptured appendix with abscess formation?
What is complicated appendicitis
Name one antibiotic commonly used pre-operatively.
What is ceftriaxone or metronidazole
What complication involves prolonged post-op ileus or adhesiona?
What is small bowel obstruction