Acute appendicitis / RLQ Pain

ACUTE APPENDICITIS- RLQ ABDOMINAL PAIN


#surgicaleducator #rlqabdominalpain #acuteappendicitis #usmle #babysurgeon #surgicaltutor
• Dear Viewers,
• Greetings from “Surgical Educator”
• Today I have uploaded a video on Acute Appendicitis
• It is the commonest surgical problem you see in surgical wards.
• I have discussed the various causes for RLQ pain, etiology, pathology, symptoms, signs, investigations , treatment and postop complications of Acute Appendicitis.
• I have also included a mind map, algorithm for RLQ pain and treatment algorithm for Acute Appendicitis.
• I hope the video will be very useful and you will enjoy it.
• You can watch all my surgical teaching videos in the following links:
• surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
• Thank you for watching the video.

1. AN OVRVIEW Dr.B.Selvaraj MS;Mch;FICS ; “Surgical Educator” Malaysia ACUTE APPENDICITIS RLQ PAIN

2. ACUTE APPENDICITIS Objectives Causes of RLQ Pain Etiology Pathology Clinical features- Symptoms & Signs Investigations Scoring System Treatment Complications Mindmap Algorithm for RLQ Pain Treatment Algorithm for Ac Appendicitis

3. ACUTE APPENDICITIS Causes of RLQ Pain Acute Appendicitis Ectopic Pregnancy Twisted Ovarian Cyst Pelvic Inflammatory Disease- PID Endometriosis Tubo -Ovarian Pathology Mittlesmerz In Females Acute Appendicitis Rt Ureteric Calculus Perforated DU- Valentino Appendicitis Ac Cholecystitis Ac Pancreatitis Crohn’s Disease Cecal Diverticulitis Inferior Wall MI Lower Lobe Pneumonia In Males In Children Acute Appendicitis Intussusception Meckel’s Diverticulitis Mesenteric Lymphadenitis

4. ACUTE APPENDICITIS ETIOLOGY Obstructive: 1. Fecolith 2. Worms- Enterobious Vermicularis 3. Lymphoid Hyperplasia in Children Non-Obstructive: 1. Catarrhal- infection

5. ACUTE APPENDICITIS PATHOLOGY

6. ACUTE APPENDICITIS SYMPTOMS MURPHY’S TRIAD

7. ACUTE APPENDICITIS SIGNS RIF Tenderness in McBurny’s point RIF Rebound Tenderness, Release tenderness or Blumberg’s sign Guarding/Rigidity Cope’s Psoas Test Cope’s Obturator Test Rovsing’s Sign Hyperasthesia in Sherren’s Triangle Obturator Test

8. ACUTE APPENDICITIS SIGNS RIF Tenderness in McBurny’s point RIF Rebound Tenderness, Release tenderness or Blumberg’s sign Guarding/Rigidity Cope’s Psoas Test Cope’s Obturator Test Rovsing’s Sign Hyperasthesia in Sherren’s Triangle Obturator Test

9. ACUTE APPENDICITIS INVESTIGATIONS Lab investigations: 1. Total WBC and Differential counts 2. C-Reactive P rotein- CRP 2. Urine- FEME if positive for C&S 3. B- HCG to R/O pregnancy Imaging studies: 1. CXR- Erect or AXR including both side diaphragm to R/O Pneumoperitoneum 2. USG-To R/O any other pathology in women of child bearing age group 3. USG-To confirm Appendicitis 4. CECT abdomen

10. ACUTE APPENDICITIS AXR

11. ACUTE APPENDICITIS USG ABDOMEN

12. ACUTE APPENDICITIS CECT- ABDOMEN

13. ACUTE APPENDICITIS ALVARADO’S SCORING Nemonic : MANTRELS If Score is < 4- discharge patient If Score is 5 to 7- admit for observation If Score is 8 to 10- Straight away surgery

14. ACUTE APPENDICITIS TREATMENT If simple Appendicitis  Open/Lap Appendicectomy If Perforated Appendicitis  Exploratory Laparotomy, Appendicectomy & Peritoneal toileting If Appendicular Abscess  < 5cms USG guided Needle aspiration or tube drain If >5cms Open drain If Appendicular Lump: - Oschner’s Sherren’s Regimen of Conservative treatment - NPO - IVF - IV broad spectrum Antibiotics - Analgesics & Anti-inflammatory drugs - Vital Signs Q2H

15. ACUTE APPENDICITIS TREATMENT

16. ACUTE APPENDICITIS COMPLICATIONS

17. ACUTE APPENDICITIS MIND MAP

18. ACUTE APPENDICITIS Algorithm For RLQ PAIN

19. ACUTE APPENDICITIS Algorithm For Ac Appendicitis

20. Peripheral Arterial Diseases(PAD)