Simple introduction to point of care ultrasound scanning for appendicitis, updated version of older talk - slightly better sound, more pictures and less writing.
I want to ask however, when you see dilated loops of bowel in the right iliac fossae but no obvious appendicitis or the appendix looks normal. What do you do?
Thank you for a great question.You follow the dilation to its distal extent(ie is colon distended too) , you check the hernial orifices, you consider if hyperperistaltic or motionless, if the walls are thick or thin, what is the proximal extent of the dilation and put it all together to decide if you have an ileus, and obstruction, ischaemia or gastroenteritis. I would do this if the dilated loops are more than just one or two localised just to RIF.
I don't think I've ever seen such a fascinating video on appendix ultrasound. Thank you for your pedagogy.
Right
Thank you
What a beautiful presentation. Thanks a lot
Thank you - I need to get round to adding the mimics - lymphoid hyperplasia and mucocoele....
Excellent review of POCUS for appendicitis. Thorough and easily understood presentation with good examples and helpful tips. Thanks!
Very educative,thanks soo much
Thank you
Wonderful, thank you
The best lecture on appi!!! Thank you!
Thank u very much
My pleasure
Your voice is soothing. The content so informative. Quite far the very best lecture I have seen on this topic. Thank you sincerely.
very helpful...thank u
very helpful video
Thank you for helpful lecture.
I want to ask however, when you see dilated loops of bowel in the right iliac fossae but no obvious appendicitis or the appendix looks normal. What do you do?
Thank you for a great question.You follow the dilation to its distal extent(ie is colon distended too) , you check the hernial orifices, you consider if hyperperistaltic or motionless, if the walls are thick or thin, what is the proximal extent of the dilation and put it all together to decide if you have an ileus, and obstruction, ischaemia or gastroenteritis. I would do this if the dilated loops are more than just one or two localised just to RIF.
Thank you!
Thank u very much
Beautiful.
This is amazing! Thank you.