Appendicitis in Hindi- cause, sign, symptoms, investigation, treatment ||Learn with Dr. Shipra||
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- čas přidán 9. 02. 2022
- appendix ka dard appendix ki sujan Inflammation of appendix #appendix #lntestine #Appendicitis Appendicitis cause, appendix pain symptoms, appendicitis sign, appendix pain, appendicitis treatment, appendicitis diagnosis
Position of Appendix-
It's a thin tube about four inches long. Shape of appendix- Vermiform shape
Normally, the appendix sits in the lower right abdomen (Rt. Iliac region).
Most common- Retrocecal
2nd most common- Pelvic
Appendicitis is an inflammation of the appendix.
It is a finger-shaped pouch that projects from your colon on the lower right side of your abdomen.
Appendicitis causes pain in your lower right abdomen.
Etiology
More common in young man, white races, less fiber diet.
Family history
Obstruction of the appendiceal lumen typically by lymphoid hyperplasia but occasionally by a fecalith, foreign body, or even worms.
The obstruction leads to distention, bacterial overgrowth (appendix to become inflamed, swollen and filled with pus), ischemia & rupture.
Signs and symptoms of appendicitis- (PVT-murphys triad)
Sudden pain that begins around umbilicus (due to distension of appendix) and after few hour shifts to right iliac fossa.
Pain that worsens if you cough, walk or make other movements
Nausea and vomiting
Loss of appetite
Low-grade fever that may worsen as the illness progresses
Urinary frequency
Constipation or diarrhea( if appendix is in postileal or pelvic position)
Important signs in appendicitis-
Hyperaesthesia in Sherrens triangle
Rovsing sign-pain elicited in the right lower quadrant with palpation pressure in the left lower quadrant
Psoas sign RLQ pain with extension of the right hip or with flexion of the right hip against resistance.
Baldwing test- Retrocecal appendicitis, pressure is applied in the right lower quadrant. lift the right leg with the knee straight. drop the leg.
Type of appendicitis-
The two types of appendicitis depending on the onset, which are:
Acute Appendicitis - It develops very fast within a few days to hours, and requires prompt medical treatment or surgery.
Chronic Appendicitis - rare condition.
Diagnosis-
Physical exam to assess your pain- apply gentle pressure on the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse.
Blood test- high white blood cell (leucocyte) count.
Urine test- urinary tract infection or a kidney stone
Imaging tests-
Abdominal X-ray ( Plain or barium enema )
Abdominal ultrasound
CT scan
magnetic resonance imaging (MRI)
Treatment-
Conservative treatment-
A- Anti-anxiety (benzodiazepine , alprazolam , diazepam)
Anti-biotics( metronidazole , ciprofloxacin)
B- beta- adrenergic (atenolol , propranolol) for decrease BP
C- Carbonic anhydrase inhibitor (acetazolamide)
D- Diuretics (furosemide)
E- Anti-emetic (dexamethasone)
Surgical management-
Open appendectomy- mc-burneys incision
Laparoscopic appendectomy
Note-
Difficult cases- Retrograde appendicectomy can be done.
In presence of pus or burst appendix, peritoneal cavity is drained.
Appendicular tumour may be found.
If it is in the tip, appendicectomy is sufficient.
If it is in the base right hemicolectomy is done
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Thanks ma'am, very knowledgeable lectures 🎉🎉🎉
Make more vedio . It's very helpful and easy language tysm 😘
Thank you 👍
You are awesome mam in the way of teaching
Very very nice lecture mam thank you mam
Thankyou very much
Very well explained 😊
easy to understand lecture💫
thank you so much ma'am 💞
Very nice mam easy way of explanation
Very nice ma'am
Nice explanation
very very nice lecture mam😇😇
Thanks 🙏
Thanks nice class😊
Thankx maam😘
Wonder full
very nice lactur mam ❤
Thank you
outstanding ❤
Excellent
Thank u mam..🥰
Masha Allah very very nice explanation ... Very helpful for students
Thnkx dr arshiya….
Bhot accha explain Kiya h ma'am but right hip pr b pain hota h ky
Mam ? Appendicitis can pain in right backside, my appendicitis size is 3.9mm.
Mam Hemorrhoids ( piles) per vedio upload kariye
Nice
Nicely explained maam make more videos of surgery your way of teaching is superb 👍🏽
Thnkx @kuldeep
Orr videos bhi bnaoo ma’am..bht aacha explain krte ho aap
Thankyou
बहुत ही अच्छा समझती है आप, और बेहतर होता अगर थोड़ा सा स्लो बताती आप
Mam mera 4. 6y old daughter ka appendix he jo blast kar gaya ajj 2Din huya OT huya ha uska ka agga koye problum ha kya.
Tq mama
Couse me white races q hoga kaise hoga plzz tell me
👌
Mam notes chaheye
We need explanation of all diseases ... Make more videos mam...
Ya sure… I tried my best
Very nice content plz make a video on pancreatitis
As soon as possible
Ma'am appendix ka koi attack' nehi aya , alag bimari k waza se USG karne par appendix 4.5mm size nikla ,, keya antibiotic se thik ho sakta hai
Very informative lectures Please upload more videos on kidney ureter bladder urethra
Sure
Malabsorption syndrome ka video nhi mam
👌🏻👌🏻👌🏻👌🏻
🔥
❤
Nyc mam.make a video on ibs.detailed .causes of oily fatty and sticky stools...and video on im injection and i v injection..
Ok
Mild altered echogenicity of peritoneal fat with probe induced mild tenderness in right illiac fossa........ Sir iska matlab kya hota hai reply kijiye sir please🙏🙏🙏
❤❤❤❤❤
Ma'am mujhe 6mm diameter appendix hai .,mem isme surgry ki rajurat hai ??plzz rply
Pain vomiting fever ese koi symptoms h kya
Mam mujhe ek mahine pehle appendix ka pain hua tha or infection bhot thi isliye one week mujhe dr ne Anti-bactic per rkha but Abbi tkk operation nhi kiya hai app mujhe koi advised de skte ho
Bhai apne operation krwaya ya nhi please tell me . I have same problem.
@@zigzag2008bhai apne kraya ya nhi filhal meri same condition hai plzz reply
Mam mera appendix ka operation hua 4 tanko ka m 1 month pahle us jagha par chamak bhut he marti h or khichao pan sa bhi hota h bhut plz reply
Send ur complete history on my instagram id- learn_with_dr_shipra
❤️❤️❤️❤️😀😀😀😀
Dexamethasone anti-emetic drug hai???
Dexamethasone with ondansetron act as antiemetic drug
Murphy triad is pain , vomiting and fever is there
Mam I have subacute appendicitis, then what I should to do
Send yr report to my instagram id
Ma'am ji kal raat ko mujhe little pain feel hua tha fir jab me bed per kervat le raha tha toh pain feel hua tha.
Mene pain ignore kerke so gaya .
Aaj morning me mujhe bhot hi minor feel ho raha hai .
What to do now please reply 🥲🙏
Send complete detail on Instagram - learn_with_dr_shipra
Mai Mera right lower mai Kabi Kabi pain hota hai Wo v lightly ... Jab mai baata k utti hu tab.. Or koi vomiting nhi hota or temperature v high nhi hai... So, mam kya muja appendix hai? Ya fir kuch or hai?
Same problem ab thik hua apka?
atelectasis and meningitis note same video chaiye maam
Ok saurav
mem.mene aapko insta id.pr apni repot beji he. plz batavo kya pro he.
K
Mam please elaborate the surgery part also ?
Ok i will
Ma'am mere apendix 3 saal pehle hua tha pr pain khatam hune ke baad mera operation nhi hua but ab dard huta hai chlane me ya kuch kaam karne me right side me kia mujhe operation karwana chahiye?
Vaps diagnosis krvao proper
@@learnwithdr.shipradiseases416 okay ma'am
Bhai apne operation krwaya ya nhi . I have same problem .
ओपीडी का नंबर क्या है
Does it occur in periods?...
Mam actually I have periods and on my right side it pain more and my back is also paining on rightside .. plz answer me as possible as early ... Plz mam
Why pathophysiology is not explained
We will discus in separate video …
Hello mam I have pain in right side middle and lower abdomen from 5 years. Everything is normal in abdominal ultrasound but appendix is not visible. Please tell me what i have to do to remove the pain.
Send ur ultrasound report
Mam report khan pr send kru koi email ya contact no. Bta do ya toh aap
Learn_with_dr_shipra instagram id
@@learnwithdr.shipradiseases416 ok mam
ILEUM: Mucosal pattern normal. No filling defect seen.
CAECUM: Caccum is normal. No filling defect seen.
APPENDIX: Appendix shows filling defects.
IMPRESSION
Pathological appendix.
To be correlated clinically.
अपेंडिसाइटिस का इलाज केवल सर्जरी है , हमने बहुत दवा कराया , जब तक दवा चलती है , तब सूजन कम हो जाती है और आराम मिल जाता है जैसे ही दवा बंद करोगे कुछ दिन बाद फिर दर्द होने लगेगा , इस लिए किसी अच्छे सर्जन को मिल कर अपेंडिसाइटिस का ऑपरेशन ही करवा लें ।
Aapko kya dikkat thi? Aur kaise pata laga ki appendix ki problem hai?
@@tributes7406 पेट के दाहिने निचले हिस्से में दर्द , जहां पर नेकर की लास्टिक होती है , अल्ट्रासाउंड से पता चल सकता है ।
विडियो पद बैठककर बड़े-बड़े बार करते हैं डॉक्टरों एड्रेस तक नहीं बताया
Umesh sharma ji ap madhya pradesh me aa skte h
@@learnwithdr.shipradiseases416 काफी ज्यादा दूर है दिल्ली aa सकता था
Thanks ma'am 🙏🙏
Most welcome 😊
Thank you
Mam mujhe ek mahine pehle appendix ka pain hua tha or infection bhot thi isliye one week mujhe dr ne Anti-bactic per rkha but Abbi tkk operation nhi kiya hai app mujhe koi advised de skte ho
Sheetal ap apni reports mujhe meri instagram id ap send kre
Learn_with_dr_shipra