Acute appendicitis USMLE Step 1 : Etiology, Pathophysiology, Clinical Features, Diagnosis, Treatment
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- เผยแพร่เมื่อ 15 ธ.ค. 2020
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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.
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Oh! May be maine ye vedio phle dekha hota to mujhe zyda information hoti ....mera acute pancreatitis ki surgery hui hai aur abhi discharge huye h...very informative video👏👏
Really it was good...but sometimes nausea/vomiting is not seen in patients ...other feature like sweating ,dry mouth, are laso present
Wow! Clarity and brevity applied.
Wow! Very nice presentation.
Thank you so much.
One of the most wonderful video...very easy to understand...by the method which you teach is really excellent ...
Thanks for this conceptual and very clear session. Whatever I want, Every thing is there
Tysm
Seeing this video form my bias Jimin
Me too😔 why that happened to him
@@Parknxvyes why happened to our mochi our angel
@@Rinkuchaudhary_0821 he must be so sad right now 😢 top of that he can't meet others members that is more sad
Me either I want to watch this because of jimin
Me too
💜 If you see this...you know🙏💜
Yep 😔
@@Twothree8126 sad why him 😥😥
Yes 😔
you deserve a gold medal. brilliant !
Tysm
Great video and explanation. I wanted to know the pain pathway from appendix though, considering it has no somatic nervous supply...
WOW! Thank you.
Thank you so much
One of the best lucture ♥️🌹
Amazing explanation
Thank u so much
great lecture and lecturer
Thank you so much for your video and knowledge
Just done my surgery that's why I came here
Wonderful!
What a thorough presentation! 👏👏
Tysm
Nice presentation and dialogue delivery
Thank you so much Dr Osaye,for your full dedication to your work,and the knowledge you compose, I am very happy and proud that I’m cured of ectopic lymphoid structure after a long time of suffering,thanks dr you did good
best lecture
Excellent explaination for us thanks alot maam ☺☺☺
this channel is the best ...great videos with all informations we are looking for and we could not find in other channels ... medical student in italy .. grazie mille
tysm
Thank you. You nailed it 🔥🤝
That's unforgettable explanation ✨ helped lot thank yu mam
Thank you the clear information
Very detailed explanation
Excellent presentation! Thank you for sharing.🙏
My pleasure!
Thanks for the update.
Top-notch conceptual correlation and beautifully crafted and articulated session. Thank you so much.
You're very welcome!
Here because of jimin🥺💜
Luxurious lecture for me
I love medicine,Thanks
Seeing it for jiminaahh get well soon our dear mochi ✨✨🌸🌸🤍🤍
Thanks a lot
Amazing video as a medical student! Every tiny detail is explained very well thank you so much❤
Tysm
informative video !!!
Thank you mam
Thannkk youuu soo mucchh
Nice....
Thank youuuuuuuu
Great 🖤!!).
nice video.
Thoroughly explained, well done doctor 👍
Thanks a ton
very much help for clinical knowledge thank you madam
It's my pleasure
Thank you
I'm speechless with your explain ma'am.thank you so much
Thanks for liking.
شكرا شرح حلو
You are outstanding mam you are a very very good teacher
I learn it so easily
Sure
Mam you are so clear in your teachings.. !!❤
It's my pleasure
thank You Wow
I understand easily by your lecture video sir
Glad to hear that
Excellent Presentation and very helpful
Glad it was helpful!
Good informative lecture thanks a lot
Most welcome
Seriously, as part of diagnosis, remember to ask patient if they have had appendix removed before ordering appendectomy.
superb quality . excellent explanation .
Glad you liked it
Thank you so much Sir for this video🙂🙏🏻
Most welcome
Very good method of teaching
Tysm
excellent explanation. Thank you!
Glad you enjoyed it!
Thank you so much Dr, it is an amazing explanation 🎉🎉 be blessed ❤❤
Most welcome
I got my doubt apsaluetly clear.
Thank you mam🤗
Most welcome 😊
Very nice video as always
Tysm ji
Ur here bc of jimin
Pls make more videos ....good explanation 🎉❤️
Sure
Excellent just woow !!
Many thanks!!
Thanks
Welcome
Nice explanation thanks for making this video mam❤👏💐
Most welcome 😊
Very nice explanation !!! Thank you
Best video👌🏻
Glad you liked it
Awesome video very clear
Glad you liked it
Jimin ahh watching this video makes me cry ....hope u will get well soon baby😢😢
Thank you so much.
Ur most welcome
Very interesting and educational
Tysm
Thanks ❤️❤️ truly helpful
You’re welcome 😊.
Very nice explanation
TYSM
Superb explanation
Tysm
Best creations at youtube ptatform. ❤️🇮🇳👍
Very useful message .
Glad you think so!
Amazing easy to follow presentation 👏
Tysm
Good presentation
Tysm
Thank you xo much🥰
You’re welcome 😊
In some patients why does it have to start from peri umbilical region radiating down to right iliac fossa region?
Nice and very informative
Thanks for liking.
Very nice video
Thank u so much
Wooooow
good work dear
Thanks for the visit
How inflammation cause nausea and vomiting sir
Came here after hearing news on KL Rahul❣️
Same to you
I also
Hope he get well soon.
❤
Tq ❤
Thank you too
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..
Can some one tell me actue appendix symptoms i am having just pain in right side lower quadrant
Thank u
I love u
You're welcome 😊
👍👌
lymphoid tissue and mucus secretion are they are same
This is my story
VICKYSCOTT VO5 SHAMPOO BODY SHOP TEA TREE COVENTRY TELEGRAPH 11TH APRIL
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Great! 🙌🏻 🙌🏻 🙌🏻
Tysm