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Related Concept Videos

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...
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...
Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
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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...
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...

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Serum markers in acute appendicitis.

Lauren Allister1, Richard Bachur, Jonathan Glickman

  • 1Division of Emergency Medicine, Children's Hospital, Boston, Massachusetts, USA.

The Journal of Surgical Research
|January 26, 2010
PubMed
Summary
This summary is machine-generated.

Granulocyte colony-stimulating factor (GCSF) serum levels can differentiate acute appendicitis (AA) from other causes of abdominal pain. GCSF levels also correlate with appendicitis severity, suggesting its use in diagnosis and staging.

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Area of Science:

  • Pediatric emergency medicine
  • Clinical immunology
  • Gastroenterology

Background:

  • Inflammatory gene expression in acute appendicitis (AA) identified overexpressed genes.
  • Investigated serum protein levels from these genes for diagnostic potential.

Purpose of the Study:

  • Determine if serum proteins can differentiate AA from other abdominal pain causes.
  • Assess correlation between serum protein levels and appendicitis histologic severity.

Main Methods:

  • Collected serum from pediatric patients (1-21 years) presenting with AA symptoms.
  • Compared serum levels of haptoglobin, GCSF, IL-8, and CRP between AA and control groups.
  • Correlated GCSF levels with appendicitis severity scores in confirmed AA cases.

Main Results:

  • Serum CRP and GCSF levels were significantly higher in the AA group compared to controls (P=0.01 and P=0.03).
  • A significant positive correlation was found between GCSF serum levels and appendicitis severity score (r=0.537, P=0.02).

Conclusions:

  • Serum GCSF levels effectively distinguish between patients with AA and controls.
  • GCSF shows potential as an adjunctive biomarker for diagnosing and staging acute appendicitis.