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Related Concept Videos

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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Appendicitis-I: Introduction01:22

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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.
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The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
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Related Experiment Video

Updated: Oct 30, 2025

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Acute appendicitis complicated by concomitant thyroid storm.

Michael M Mohseni1, Charles Graham1

  • 1Department of Emergency Medicine, Mayo Clinic, Jacksonville, Florida.

Proceedings (Baylor University. Medical Center)
|July 5, 2021
PubMed
Summary
This summary is machine-generated.

Thyroid storm can mimic acute appendicitis, presenting abdominal pain. Aggressive thyroid storm treatment before surgery is crucial to prevent life-threatening complications.

Keywords:
AppendicitisGraves’ diseaseperitonitisthyroid crisisthyroid storm

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Area of Science:

  • Endocrinology
  • Gastroenterology
  • Surgical Case Report

Background:

  • Thyroid storm, a severe form of thyrotoxicosis, presents a diagnostic challenge.
  • Acute abdomen symptoms can overlap with severe thyrotoxicosis, complicating clinical assessment.

Observation:

  • A patient presented with symptoms suggestive of an acute abdomen.
  • These findings were initially concerning for acute appendicitis.

Findings:

  • The patient was diagnosed with thyroid storm and acute appendicitis concurrently.
  • Perioperative management focused on aggressive thyroid storm treatment, followed by appendectomy.
  • Post-operative care included continued management of the thyroid state.

Implications:

  • Differentiating medical (thyroid storm) versus surgical (appendicitis) causes of acute abdomen is critical.
  • Optimizing thyroid status preoperatively is essential to mitigate risks like cardiovascular collapse.
  • This case highlights the importance of considering thyrotoxicosis in patients with acute abdominal symptoms.