Appendicitis - OSCE surgery
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9 Terms
Focused hx of appendicitis ?
Great the patient and introduce yourself
ask about the pain : course , site, shifting, radiation, nature “It’s colicky in the beginning and then constant in the RIF”
Nausea & anorexia
Vomiting (amount, nature, colour)
Aggravating factors (movement, cough)
Relieving (rest)
Urinary symptoms
Change in colour of sclera
Bowel motion (constipation or diarrhea)
Previous attacks
Past medical & surgical hx
Family hx
Focused examination of appendicitis ?
Fever
Rigor
Tachycardia
Rebound tenderness or Blumberg’s sign
Muscle guarding
Psoas sign
Obturator sign
Dunphy sign
McBurney sign
Rovsing’s sign
What are the complications on appendicitis ?
1- appendiceal mass
2- appendiceal abscess
3- perforation
4- peritonitis
What are the inx for appendictis ?
1- US
2- abdominal x-ray
3- CT
4- WBC count & GUE
احچيهن كِلهِن Appendicitisشنو هن الساينات مال
What is MANTRELS score
