Acute appendicitis USMLE Step 1 : Etiology, Pathophysiology, Clinical Features, Diagnosis, Treatment

📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- / drgbhanuprakash
📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- t.me/bhanuprakashdr
📌𝗦𝘂𝗯𝘀𝗰𝗿𝗶𝗯𝗲 𝗧𝗼 𝗠𝘆 𝗠𝗮𝗶𝗹𝗶𝗻𝗴 𝗟𝗶𝘀𝘁:- linktr.ee/DrGBhanuprakash
Acute appendicitis: Epidemiology, Etiology, Pathophysiology, Clinical features, Diagnosis, Treatment
Acute appendicitis is the acute inflammation of the appendix, typically due to an obstruction of the appendiceal lumen. It is the most common cause of acute abdomen requiring emergency surgical intervention in both children and adults. The characteristic features of acute appendicitis are periumbilical abdominal pain that migrates to the right lower quadrant (RLQ), anorexia, nausea, fever, and RLQ tenderness. When seen alongside neutrophilic leukocytosis, these features are sufficient to make a clinical diagnosis using appendicitis scoring systems to estimate the likelihood of appendicitis. Imaging (e.g., abdominal CT with IV contrast, abdominal ultrasonography) may be considered if the clinical diagnosis is uncertain. The current standard of management of acute appendicitis is emergency appendectomy (laparoscopic or open) and antibiotics. Nonoperative management (NOM), which includes bowel rest, antibiotics, and analgesics, is indicated in patients with an inflammatory appendiceal mass (phlegmon) or an appendiceal abscess because the surgical intervention is associated with a higher risk of complications in these patient groups. Interval appendectomy 6-8 weeks following resolution of the acute episode may be considered in these patients to prevent a recurrence or if there is a concern for an underlying appendiceal tumor.
#appendicitis #acuteappendicitis #appendicitistreatment #appendectomy #signsofappendicitis #symptomsofappendicitis #treatmentofappendicitis #diagnosisofappendicitis #appendicitispathology #appendicitislecture #appendicitisanimation

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[@drbrain9967]

Really it was good...but sometimes nausea/vomiting is not seen in patients ...other feature like sweating ,dry mouth, are laso present

[@monicarebeiro9990]

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[@doctorbhanuprakash]

Tysm

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[@crimealleysoutlaw1103]

Great video and explanation. I wanted to know the pain pathway from appendix though, considering it has no somatic nervous supply...

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[@doctorbhanuprakash]

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[@doctorbhanuprakash]

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Seriously, as part of diagnosis, remember to ask patient if they have had appendix removed before ordering appendectomy.

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How inflammation cause nausea and vomiting sir

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[@doctorbhanuprakash]

You're welcome 😊

[@anastaciayan9221]

In some patients why does it have to start from peri umbilical region radiating down to right iliac fossa region?

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Thank you too

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lymphoid tissue and mucus secretion are they are same

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[@gokulm594]

Can some one tell me actue appendix symptoms i am having just pain in right side lower quadrant

[@kushaltiwari4183]

Sir, I am diagnosed with Acute appendicitis and planned for interval appendectomy. Can I have an appointment with you as doctors seems to have confusion between acute appendicitis and Crohn’s disease and prescribed me colonoscopy..

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Where Is Alvarado score