27 April 2009

Acute Appendicitis



Acute Appendicitis
Presentation by:Stephen Cluff D.O.

Acute Appendicitis

Begins as a Lumen obstruction
…mucosal secretion increases pressure
…overcomes perfusion pressure
…obstructs venous/lymphatic drainage
…epithelial breakdown
…invasion by bowel flora
…eventual arterial stasis and necrosis
…spillage of infected contents into peritoneum

Pain Presentation
History
Physical Exam
Labs
Imaging
Special Cases
Treatment

* Appendectomy
* NPO, IV fluids, pre-op antibiotics

Disposition

QUIZ
Acute Appendicitis.ppt

at Monday, April 27, 2009
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