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Related Concept Videos

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...
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Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
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Imaging Studies II: Ultrasonography01:24

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Ultrasound I: Abdominal Ultrasonography01:20

Ultrasound I: Abdominal Ultrasonography

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Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
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Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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Ultrasonography in Patients with Suspected Acute Appendicitis.

J Debnath1, Sree Ram2, S Balani3

  • 1Classified Specialist (Radiodiagnosis) undergoing Training at AIIMS, New Delhi.

Medical Journal, Armed Forces India
|July 14, 2016
PubMed
Summary

Graded compression ultrasonography accurately diagnoses appendicitis in equivocal cases. This imaging technique is valuable for identifying alternative diagnoses when appendicitis is not present.

Keywords:
Acute appendicitisUltrasonography

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Area of Science:

  • Radiology
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Acute appendicitis diagnosis can be challenging in equivocal clinical presentations.
  • Mid-zonal military hospitals in India face specific diagnostic hurdles.

Purpose of the Study:

  • To assess the utility and limitations of graded compression ultrasonography (GCUS) for diagnosing suspected acute appendicitis.
  • To evaluate GCUS in clinically uncertain cases within a military hospital setting.

Main Methods:

  • A prospective study involving 69 patients with suspected acute appendicitis.
  • Utilized GCUS with self-localization and various ultrasound transducers.
  • Measured anteroposterior appendix diameter, with ≥7mm indicating appendicitis.

Main Results:

  • 52% of cases (36/69) were diagnosed with appendicitis via sonography.
  • High diagnostic accuracy: sensitivity 89.7%, specificity 96.6%.
  • GCUS aided in establishing alternative diagnoses in 47.8% of cases.

Conclusions:

  • GCUS combined with self-localization is an effective tool for diagnosing or excluding appendicitis in equivocal cases.
  • This imaging modality significantly aids in identifying alternative causes of abdominal pain.