Appendicitis: Difference between revisions

	Appendicitis Microchapters
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Overview
Historical Perspective
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Pathophysiology
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Differentiating Appendicitis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Diagnostic Scoring
X Ray
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Case #1
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VisualWikitext

Latest revision as of 20:27, 29 July 2020

For patient information, click here Template:DiseaseDisorder infobox

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Moubarak, M.D. [2]; Farwa Haideri [3]

Synonyms and keywords: Epityphlitis; Acute appendicitis; Subacute appendicitis; Chronic appendicitis; Pelvic appendicitis; Atypical appendicitis; Retroileal appendicitis; Retroileal appendicitis; Relapsing appendicitis; Focal appendicitis; Complicated appendicitis; Acute appendicitis without peritonitis

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Appendicitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Treatment

Case Studies

Case #1

Template:WikiDoc Sources

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+__NOTOC__
+{| class="infobox" style="float:right;"
+|-
+| [[File:Siren.gif|30px|link=Appendicitis resident survival guide]]|| <br> || <br>
+| [[Appendicitis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
+|}
+'''For patient information, click [[{{PAGENAME}} (patient information)|here]]'''
 {{DiseaseDisorder infobox |
    Name           = Appendicitis |
    Image          = Acute Appendicitis.jpg|
    Caption        = An acutely inflamed and enlarged appendix, sliced lengthwise |
-  ICD10          = {{ICD10|K|35||k|35}} - {{ICD10|K|37||k|35}} |
-  ICD9           = {{ICD9|540}}-{{ICD9|543}} |
-  MedlinePlus    = 000256 |
-  DiseasesDB     = 885 |
-  MeshName       = Appendicitis |
-  MeshNumber     = C06.405.205.099 |
 }}
-[[Image:Stomach colon rectum diagram.svg|thumb|Location of the appendix in the [[digestive system]]]]
 {{Appendicitis}}
-'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
+{{CMG}} {{AE}} {{MM}}; {{FH}}
-{{CMG}}
+{{SK}} Epityphlitis; Acute appendicitis; Subacute appendicitis; Chronic appendicitis; Pelvic appendicitis; Atypical appendicitis; Retroileal appendicitis; Retroileal appendicitis; Relapsing appendicitis; Focal appendicitis; Complicated appendicitis; Acute appendicitis without peritonitis
-{{SK}} Epityphlitis
 ==[[Appendicitis overview|Overview]]==
@@ Line 31: / Line 29: @@
 ==[[Appendicitis epidemiology and demographics|Epidemiology and Demographics]]==
+==[[Appendicitis risk factors|Risk Factors]]==
+==[[Appendicitis screening|Screening]]==
-==[[Appendicitis_natural_history,_complications_and_prognosis| Natural History, Complications, and Prognosis]]==
+==[[Appendicitis_natural_history,_complications_and_prognosis|Natural History, Complications and Prognosis]]==
 ==Diagnosis==
-:[[Appendicitis symptoms|Symptoms]] | [[Appendicitis physical examination|Physical Examination]] | [[Appendicitis electrolyte and biomarker studies|Electrolyte and Biomarker Studies]] | [[Appendicitis CT| CT]] | [[Appendicitis ultrasound|Ultrasound]]
+[[Appendicitis history and symptoms|History and Symptoms]] | [[Appendicitis physical examination|Physical Examination]] | [[Appendicitis laboratory findings|Laboratory Findings]] | [[Appendicitis diagnostic scoring|Diagnostic Scoring]] | [[Appendicitis x ray|X Ray]] | [[Appendicitis CT| CT]] | [[Appendicitis MRI|MRI]] | [[Appendicitis ultrasound|Ultrasound]] | [[Appendicitis other imaging findings|Other Imaging Findings]] | [[Appendicitis other diagnostic studies|Other Diagnostic Studies]]
 ==Treatment==
+[[Appendicitis medical therapy|Medical Therapy]] | [[Appendicitis surgery|Surgery]] | [[Appendicitis primary prevention|Primary Prevention]] | [[Appendicitis secondary prevention|Secondary Prevention]] | [[Appendicitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Appendicitis future or investigational therapies|Future or Investigational Therapies]]
-The treatment begins by keeping the patient from [[fasting|eating or drinking anything]], even water, in preparation for surgery. An intravenous drip is used to hydrate the patient. [[Antibiotic]]s given intravenously such as cefuroxime and metronidazole may be administered early to help kill bacteria and thus reduce the spread of infection in the abdomen and postoperative complications in the abdomen or wound. Equivocal cases may become more difficult to assess with antibiotic treatment and benefit from serieal examinations. If the stomach is empty (no food in the past six hours) general anaesthesia is usually used.  Otherwise, spinal anaesthesia may be used.
+==Case Studies==
+[[Appendicitis case study one|Case #1]]
-The [[surgery|surgical]] procedure for the removal of the appendix is called an ''[[appendicectomy]]'' (also known as an ''appendectomy''). Often now the operation can be performed via a [[laparoscopic]] approach, or via three small incisions with a camera to visualize the area of interest in the abdomen.  If the findings reveal suppurative appendicitis with complications such as rupture, abscess, adhesions, etc., conversion to open laparotomy may be necessary. An open laparotomy incision if required most often centers on the area of maximum tenderess, [[McBurney's point]], in the right lower quadrant.  A transverse or a gridiron diagonal incision is used most commonly.
+{{WikiDoc Help Menu}}
+{{WikiDoc Sources}}
-According to a [[meta-analysis]] from the [[Cochrane Collaboration]] comparing [[laparoscopic]] and open procedures, [[laparoscopic]] procedures seem to have various advantages over the open procedure. Wound infections were less likely after [[laparoscopic]] [[appendicectomy]] than after open appendicectomy ([[odds ratio]] 0.45; CI 0.35 to 0.58), but the incidence of intraabdominal abscesses was increased ([[odds ratio]] 2.48; CI 1.45 to 4.21). The duration of surgery was 12 minutes (CI 7 to 16) longer for laparoscopic procedures. Pain on day 1 after surgery was reduced after laparoscopic procedures by 9 mm (CI 5 to 13 mm) on a 100 mm visual analogue scale. Hospital stay was shortened by 1.1 day (CI 0.6 to 1.5). Return to normal activity, work, and sport occurred earlier after laparoscopic procedures than after open procedures. While the operation costs of laparoscopic procedures were significantly higher, the costs outside hospital were reduced. Young female, obese, and employed patients seem to benefit from the laparoscopic procedure more than other groups. <ref name="pmid15495014">{{cite journal |author=Sauerland S, Lefering R, Neugebauer EA |title=Laparoscopic versus open surgery for suspected appendicitis |journal=Cochrane Database Syst Rev |volume= |issue=4 |pages=CD001546 |year=2004 |pmid=15495014 |doi=10.1002/14651858.CD001546.pub2}}</ref>
-Surgery may last from 15 minutes in typical appendicitis in thin patients to several hours in complicated cases. Hospital lengths of stay usually range from overnight to a matter of days (rarely weeks in complicated cases.) The pain is not always constant, in some cases it can stop for a day and then come back.
-==References==
-{{Reflist|2}}
-[[Category:emergency medicine]]
+[[Category:Emergency medicine]]
-[[Category:Inflammations]]
+[[Category:Surgery]]
-[[Category:Medical emergencies]]
-[[Category:General surgery]]
 [[Category:Gastroenterology]]
 [[Category:Disease]]
-{{WikiDoc Help Menu}}
-{{WikiDoc Sources}}

Appendicitis: Difference between revisions

Latest revision as of 20:27, 29 July 2020

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