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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

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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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The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
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Pulmonary Embolism I: Introduction01:29

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Acute Coronary Syndrome I: Introduction01:30

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Related Experiment Video

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Multimodality Diagnosis of Mesenteric Ischemia
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Omental Infarction Imitating Acute Appendicitis.

Saurabh Gaba1, Nayana Gaba2, Monica Gupta1

  • 1General Medicine, Government Medical College and Hospital, Chandigarh, IND.

Cureus
|July 24, 2020
PubMed
Summary
This summary is machine-generated.

Omental infarction, a rare cause of acute abdomen, can mimic appendicitis. Conservative management led to spontaneous improvement in this case, avoiding surgery.

Keywords:
acute abdomenacute appendicitisomental infarction

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Area of Science:

  • Gastroenterology
  • Abdominal Imaging
  • Surgical Case Reports

Background:

  • Acute abdominal pain is a common presentation in emergency departments.
  • Omental infarction is an uncommon cause of acute abdomen, often presenting with non-specific symptoms.
  • Diagnostic imaging, including ultrasound and CT scans, plays a crucial role in differentiating causes of acute abdomen.

Observation:

  • A 26-year-old male presented with symptoms suggestive of acute appendicitis.
  • Ultrasound revealed poor visualization of the appendix; subsequent CT scan identified right-sided omental infarction.
  • The patient experienced nausea and abdominal pain, necessitating further investigation beyond initial ultrasound.

Findings:

  • Computed tomography (CT) scan confirmed omental infarction as the cause of the patient's acute abdominal symptoms.
  • Conservative management, including analgesics, fluids, and antibiotics, resulted in spontaneous clinical improvement within 24 hours.
  • The patient tolerated oral feeding and was discharged without surgical intervention.

Implications:

  • Omental infarction should be considered in the differential diagnosis of acute abdomen, particularly when appendicitis or cholecystitis are suspected but not definitively diagnosed.
  • Conservative management may be effective for omental infarction, potentially avoiding unnecessary surgical procedures.
  • Individualized treatment approaches are essential for managing omental infarction, with surgery reserved for select cases.