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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Gastritis III: Clinical Manifestations and Management01:23

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...

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Tip appendicitis: clinical implications and management.

Haggi Mazeh1, Irene Epelboym, Jill Reinherz

  • 1Department of General Surgery, Hadassash-Hebrew University Medical Center, Jerusalem, Israel.

American Journal of Surgery
|September 16, 2008
PubMed
Summary
This summary is machine-generated.

Computed tomography (CT) imaging can identify tip appendicitis, an inflammation of the appendix tip. A subset of patients with low clinical suspicion can be managed conservatively, avoiding complications.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Tip appendicitis is a rare condition characterized by inflammatory changes in the distal appendix.
  • Computed tomography (CT) is crucial for identifying this entity.
  • Understanding its significance and management is important.

Purpose of the Study:

  • To evaluate the significance and management of tip appendicitis identified on CT imaging.
  • To compare the clinical and radiological features of patients with and without confirmed appendicitis.

Main Methods:

  • Retrospective review of CT scans from 2003-2007 to identify tip appendicitis.
  • Patients were grouped based on histopathological confirmation of appendicitis.
  • Univariate analysis was used to compare radiological findings and clinical courses.

Main Results:

  • Of 18 patients with CT findings of tip appendicitis, 39% had confirmed appendicitis.
  • Confirmed appendicitis cases showed higher rates of right lower quadrant (RLQ) tenderness, leukocytosis, and clinical suspicion.
  • No complications or re-admissions were reported in the study cohort.

Conclusions:

  • CT findings suggestive of tip appendicitis can be managed conservatively in select patients.
  • Conservative management is appropriate for patients with low clinical suspicion for acute appendicitis.
  • This approach may help avoid unnecessary interventions.