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Related Concept Videos

Appendicitis01:19

Appendicitis

19
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...
19
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
920
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

887
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
887
Cholecystitis01:20

Cholecystitis

21
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Complicated acute appendicitis? An unusual differential.

Shamir O Cawich1, Dale Hassranah2, Suresh Pooran2

  • 1Hepatobiliary Surgeon, Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad & Tobago socawich@hotmail.com.

Tropical Doctor
|September 26, 2014
PubMed
Summary
This summary is machine-generated.

Internal concealment, a rare diagnosis, can mimic acute appendicitis. A case revealed a ruptured cecum with drug pellets, highlighting the need for early reporting in high-prevalence areas.

Keywords:
Appendicitiscomplicateddrugpackersurgery

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Area of Science:

  • General Surgery
  • Toxicology
  • Emergency Medicine

Background:

  • Acute appendicitis is a frequent surgical diagnosis with several potential differential diagnoses.
  • Internal concealment, though uncommon, warrants consideration in the differential diagnosis of abdominal emergencies.

Observation:

  • A young male patient presented with symptoms suggestive of complicated acute appendicitis, necessitating surgical intervention.
  • Intraoperatively, a ruptured cecum was identified, revealing multiple free-floating drug pellets within the abdominal cavity.

Findings:

  • The intraoperative findings suggest a case of internal concealment presenting as acute appendicitis.
  • The presence of free-floating drug pellets indicates the internal concealment of illicit substances.

Implications:

  • Clinicians in high-prevalence areas should include internal concealment in their differential diagnosis for acute abdominal pain.
  • Prompt recognition and reporting of such cases are crucial for patient management and public health.